Coast Heart Institute, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

COAST HEART INSTITUTE, PLLC

Practice address

4215 15TH St
Gulfport, MS 39501-2523

Phone

(228) 863-5211

NPI assigned

Aug 14, 2006

Organization subpart

No

Name

Dr. Bassam R Baroudi, M.D.NPI 1487683231

Title

Managing Partner/Owner

Phone

(228) 863-5211

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bassam Baroudi, M.D.

  • Cardiovascular Disease Physician
  • Gulfport, MS
  • NPI 1487683231

  Cardiovascular Disease, MS

  Medicare reassignment NPD Authorized official
• Casey Adams, CNP

  • Adult Health Nurse Practitioner
  • Gulfport, MS
  • NPI 1437540184

  MS

  Medicare reassignment NPD
• Raymond Patrick Blythe, CFNP

  • Family Nurse Practitioner
  • Pascagoula, MS
  • NPI 1700210432

  MS

  Medicare reassignment NPD
• Shwan Mohamad Dhahir Jalal, M.D.

  • Cardiovascular Disease Physician
  • Gulfport, MS
  • NPI 1558673384

  Cardiovascular Disease, MS

  Medicare reassignment NPD
• Umair Zafar Malik, M.D.

  • Cardiovascular Disease Physician
  • Gulfport, MS
  • NPI 1952741977

  Cardiovascular Disease, MS

  Medicare reassignment NPD
• Mohammed I Awaad, MD

  • Cardiovascular Disease Physician
  • Gulfport, MS
  • NPI 1720039043

  Cardiovascular Disease

  NPD (past)
• David Costello, C.R.N.P.

  • Family Nurse Practitioner
  • Gulfport, MS
  • NPI 1104053420

  Single Specialty

  NPD (past)
• Gregory K Meekin, M.D.

  • Specialist
  • Gulfport, MS
  • NPI 1417986910
  NPD (past)
• Michael F Payment, M.D.

  • Cardiovascular Disease Physician
  • Jackson, MS
  • NPI 1760496475

  Cardiovascular Disease

  NPD (past)
• Tiffany Reffit, FNP-BC

  • Nurse Practitioner
  • Biloxi, MS
  • NPI 1063033108
  NPD (past)
• Antoine Rizk, M.D.

  • Cardiovascular Disease Physician
  • Biloxi, MS
  • NPI 1568411403

  Cardiovascular Disease

  NPD (past)
• Michael A Seicshnaydre, M.D.

  • Specialist
  • Gulfport, MS
  • NPI 1285663799
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992718795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 15TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012523",
            "telephone_number": "228-863-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 15TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012523",
            "telephone_number": "228-863-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST HEART INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAROUDI",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING PARTNER/OWNER",
        "authorized_official_telephone_number": "228-863-5211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Gulfport, MS
• Cardiovascular Disease Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.