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

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

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

Title

Managing Partner/Owner

Phone

(228) 863-5211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bassam Baroudi, M.D.

  • Cardiovascular Disease Physician
  • Gulfport, MS
  • NPI 1487683231
  Medicare reassignment NPD Authorized official
• Casey Adams, CNP

  • Adult Health Nurse Practitioner
  • Gulfport, MS
  • NPI 1437540184
  Medicare reassignment NPD
• Raymond Patrick Blythe, CFNP

  • Family Nurse Practitioner
  • Pascagoula, MS
  • NPI 1700210432
  Medicare reassignment NPD
• Shwan Mohamad Dhahir Jalal, M.D.

  • Cardiovascular Disease Physician
  • Gulfport, MS
  • NPI 1558673384
  Medicare reassignment NPD
• Umair Zafar Malik, M.D.

  • Cardiovascular Disease Physician
  • Gulfport, MS
  • NPI 1952741977
  Medicare reassignment NPD
• Mohammed I Awaad, MD

  • Cardiovascular Disease Physician
  • Gulfport, MS
  • NPI 1720039043
  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
  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
  NPD (past)
• Michael A Seicshnaydre, M.D.

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

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

{
    "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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• Coast Nerve & Spine Center, LLC
• Coast RX
• Coast Speech-Language Therapy, LLC
• Coastal Anesthesia Service PA
• Coastal Chronic Pain Services, PLLC

• Cardiovascular Disease Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• 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.