Individual provider Active NPI

Bashaer Aldhahwani

  • Neuro-ophthalmology Physician
  • Miami, FL
National Provider Identifier
1891416962
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
License
36475 Issued in FL
Practice address
900 NW 17TH St
Miami, FL 33136-1134
Phone
(305) 339-0402
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuro-ophthalmology Physician 207WX0109X 36475 FL Primary

Addresses

Primary practice location

900 NW 17TH St
Miami, FL 33136-1134

Mailing address

501 NE 31St St Unit 605
Miami, FL 33137-4480
Phone (305) 339-0402

Other practice location 1

501 NE 31st St Unit 605
Miami, FL 33137-4480
Phone (305) 339-0402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36475FLMDNeuro-ophthalmology Physician

Interoperability endpoints

  • Direct secure messaging: baldhahwani113621@direct.med.miami.edu

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1891416962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NE 31ST ST UNIT 605",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374480",
            "telephone_number": "305-339-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361134",
            "telephone_number": "305-339-0402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 NE 31st St Unit 605",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331374480",
            "country_code": "US",
            "telephone_number": "305-339-0402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDHAHWANI",
        "first_name": "BASHAER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "FL",
            "license": "36475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.