Individual provider Active NPI

Hisham Hakim, MDMPH

  • Specialist
  • Birmingham, AL
National Provider Identifier
1891887535
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14336 Issued in AL
Practice address
7500 Hugh Daniel Dr
Suite 250
Birmingham, AL 35242-7148
Phone
(205) 991-3300
Fax
(205) 991-3327
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14336 AL Primary

Addresses

Primary practice location

7500 Hugh Daniel Dr
Suite 250
Birmingham, AL 35242-7148

Mailing address

7500 Hugh Daniel Dr
Suite 250
Birmingham, AL 35242-7148
Phone (205) 991-3300

Other identifiers 3

IdentifierTypeStateIssuer
051089200OtherALBCBS
051095118OtherALBCBS
00996330MedicaidAL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14336ALMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891887535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HUGH DANIEL DR",
            "address_2": "SUITE 250",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427148",
            "telephone_number": "205-991-3300",
            "fax_number": "205-991-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HUGH DANIEL DR",
            "address_2": "SUITE 250",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427148",
            "telephone_number": "205-991-3300",
            "fax_number": "205-991-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "HISHAM",
        "credential": "MDMPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "14336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051089200",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051095118",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00996330",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.