Individual provider Active NPI

Bahjat F Ghanem, MD

  • General Practice Physician
  • Pembroke Pines, FL
National Provider Identifier
1932158987
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0066087 Issued in FL
Practice address
13400 SW 10TH St
Pembroke Pines, FL 33027-1833
Phone
(954) 900-1466
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0066087 FL Primary

Addresses

Primary practice location

13400 SW 10TH St
Pembroke Pines, FL 33027-1833

Mailing address

13400 SW 10TH St
Pembroke Pines, FL 33027-1833
Phone (954) 900-1466

Other identifiers 1

IdentifierTypeStateIssuer
373630000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060726000418 FL Practitioner - General Practice 6709899370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Medical Center, LLCGroup PAC ID 9830508852, 6 clinicians

Practice addresses (Care Compare)

13400 SW 10TH St
Pembroke Pines, FL 33027-1833
Phone (954) 900-1466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0066087FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMFL Medical Centers LLC Current Accepting new patients
VMFL Medical Centers LLC CurrentSince Oct 1, 2024 Accepting new patients
VMFL Medical Centers LLC CurrentSince Oct 1, 2024 Accepting new patients
CR Medical Group Inc PastSince May 3, 2014 Accepting new patients

Locations

9000 NW 15th St
Unit 6
Doral, FL 33172
Phone (305) 505-7149

1565 W 29th St
Hialeah, FL 33012
Phone (305) 537-4110

1440 NE 8th St
Homestead, FL 33033
Phone (305) 289-8272

109 Royal Palm Way
Palm Beach, FL 33480

Interoperability endpoints

  • Direct secure messaging: bahjat.ghanem.p1@direct.vivamasmedical.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1932158987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 SW 10TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271833",
            "telephone_number": "954-900-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 SW 10TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271833",
            "telephone_number": "954-900-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANEM",
        "first_name": "BAHJAT",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "0066087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373630000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.