NPIMap

Individual provider Active NPI

Ziad M Marjieh, M.D.

  • Cardiovascular Disease Physician
  • Fort Pierce, FL
National Provider Identifier
1992782577
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME47006 Issued in FL
Practice address
2100 Nebraska Ave
Suite 105
Fort Pierce, FL 34950-4704
Phone
(772) 461-0915
Fax
(772) 461-3825
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME47006 FL Primary

Addresses

Primary practice location

2100 Nebraska Ave
Suite 105
Fort Pierce, FL 34950-4704

Mailing address

2100 Nebraska Ave
Suite 105
Fort Pierce, FL 34950-4704
Phone (772) 461-0915

Other identifiers 2

IdentifierTypeStateIssuer
ME47006OtherFLMEDICAL LICENSE
041814500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130001208 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4385663137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1801 SE Hillmoor Dr
Suite B 109
Port Saint Lucie, FL 34952-7550
Phone (772) 461-0915

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME47006FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ziad Michel Marjieh M D P a Cardiovascular Disease CurrentSince Jun 9, 2010 Accepting new patients
Heart Center of the Treasure Coast Cardiovascular Disease Past Accepting new patients
Treasure Coast Medical Group, PA PastSince Jul 1, 1997 Accepting new patients

Locations

2100 Nebraska Ave
Ste 105
Fort Pierce, FL 34950
Phone (772) 461-0915

1801 SE Hillmoor Dr
Ste B-109
Port St Lucie, FL 34952
Phone (772) 236-4409

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1992782577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE",
            "address_2": "SUITE 105",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504704",
            "telephone_number": "772-461-0915",
            "fax_number": "772-461-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE",
            "address_2": "SUITE 105",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504704",
            "telephone_number": "772-461-0915",
            "fax_number": "772-461-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARJIEH",
        "first_name": "ZIAD",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME47006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL  LICENSE",
            "identifier": "ME47006",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041814500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.