DR. HISHAM BAHMAD
NPI 1104437649
Student in an Organized Health Care Education/Training Program in Miami Beach, FL
About Dr. Hisham Bahmad NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HISHAM BAHMAD (NPI 1104437649) is an individual student in an organized health care education/training program in Miami Beach, Florida and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Hisham Bahmad is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Hisham Bahmad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami Beach, FL 33109
- Reassigned Medicare billing, Florida enrollment
- 3,639 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIAMI BEACH, FL 33140
MIAMI BEACH, FL 33140
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hisham Bahmad's NPI number?
The NPI number for Hisham Bahmad is 1104437649. It was assigned to this individual provider in the NPPES registry on August 10, 2020.
Where is Hisham Bahmad located?
Hisham Bahmad practices at 4300 Alton Rd, Miami Beach, FL 33140. The listed phone number is (305) 674-2277.
What is Hisham Bahmad's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Hisham Bahmad enrolled in Medicare?
Yes. Hisham Bahmad is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Hisham Bahmad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hisham Bahmad reassigns Medicare benefits to University Of Miami (Miami Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hisham Bahmad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Hisham Bahmad was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Hisham Bahmad · NPI 1104437649
Student in an Organized Health Care Education/Training Program provider in Miami Beach, Florida. Individual provider, active in the CMS NPPES registry since August 10, 2020.
## Identity
- **NPI:** 1104437649 (Entity type: Individual)
- **Enumerated:** August 10, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4300 ALTON RD, Miami Beach, FL 33140-2948
- **Phone:** (305) 674-2277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Miami (NPI 1124768627, Miami Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104437649) · Data from the CMS NPPES public registry.