Walid Semaan, MD
Individual provider Active NPI Internal Medicine Physician · Miami, FL
NPI 1982013710 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1982013710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME168136 (FL)
- Practice address
- 1611 NW 12TH Ave
Miami, FL 33136-1005 - Phone
- (877) 832-2652
- Fax
- (800) 792-9021
- NPI assigned
- Aug 6, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Mississippi Regional Medical Center
Practice addresses (Care Compare)
1065 E Broad St
Lawrence County Hospitalists
Monticello, MS 39654-7703
Phone (601) 587-4051
Hospital & facility affiliations
- Southwest Ms Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.09 of 100
- Quality
- 73.43
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171026001278 | MS | Practitioner - Internal Medicine | 1052620887 | Reassigns benefits to 2 organizations |
| I20240806001677 | FL | Practitioner - Internal Medicine | 1052620887 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME168136 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HHA Associates LLC | Current |
Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current |
Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Internal Medicine | Current |
Accepting new patients |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current |
Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Past | Accepting new patients |
Locations
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
4960 SW 72nd Ave
Ste 301
Miami, FL 33155
215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180
1065 E Broad St
Monticello, MS 39654
Phone (601) 249-1350
1167 E Broad St
Monticello, MS 39654
Phone (601) 587-1433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25165 | MS | |
| Internal Medicine Physician | 207R00000X | ME168136 | FL | Yes |
Addresses
Primary practice location
1611 NW 12TH Ave
Miami, FL 33136-1005
Mailing address
251 NE 20TH St Apt 1201
Miami, FL 33137-5603
Phone (248) 404-5567
Other practice location 1
215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-5500
Other providers in Miami, FL
- Kianna Sellers
- Joanna Sells
- Yacqueline Selva Legra
- Gennaro Selvaggi
- Dawn Theresa Selvidge
- Karentha Semancie
- Semchudes Inc
- Isabel Aurora Semidey
- Katherine Jean Semidey
- Marina Seminatore
All providers in Miami, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.