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DR. JACK IBRAHIM HAJ OBEID M. D.
NPI 1104808054
Anesthesiology - Critical Care Medicine in Tampa, FL

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-7365(813) 449-8618 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2026, Aug 7, 2026, Aug 14, 2025 and 4 more (7 updates tracked since 2017).

About Dr. Jack Ibrahim Haj Obeid M. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK IBRAHIM HAJ OBEID M. D. (NPI 1104808054) is an individual critical care medicine provider in Tampa, Florida, licensed in Florida (ME87987) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Union County, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1104808054
Entity TypeIndividualMale
Primary Taxonomy207LC0200X
Provider Legal NameDR. JACK IBRAHIM HAJ OBEIDCredential: M. D.
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing Address350 N Humphreys BlvdMemphis, TN 38120-2177 · (901) 226-4003 · Fax (901) 227-8591
Phone(813) 745-7365
Fax(813) 449-8618
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 16, 2005
Last NPPES UpdateAugust 13, 20267 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1104808054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License✔ Licensed in FL · ME87987
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
12902 USF MAGNOLIA DR, Tampa, FL 33612
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Secondary Practice Locations 4

Location 160 Memorial Medical PkwyPalm Coast, FL 32164-5980 · Phone (386) 586-2050
Location 2200 State Highway 30 WNew Albany, MS 38652-3112 · Phone (662) 538-2137 · Fax (662) 538-2132
Location 39330 State Road 54Trinity, FL 34655-1808 · Phone (727) 834-4000
Location 417929 Hunting Bow Cir Ste 102Lutz, FL 33558 · Phone (813) 751-7855 · Fax (813) 475-5283

Other Identifiers 1

Medicaid013903700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Ibrahim Haj Obeid M. D. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638139876
PECOS Enrollment IDI20041013000203
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

13

Medicare enrollment records show Jack Haj Obeid reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
0.1 mi
Hematology & Oncology
12902 USF MAGNOLIA DR
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 992 clinicians in this Medicare group
NPI 1306833595 (813) 745-4673
Sound Physicians Of Florida IV, LLC
0.5 mi
Internal Medicine
3100 E FLETCHER AVE
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 300 clinicians in this Medicare group
NPI 1235712415 (813) 971-6000
Cogent Healthcare Of Jacksonville, LLC
19 mi
Internal Medicine
2770 REGENCY OAKS BLVD
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 440 clinicians in this Medicare group
NPI 1639835465 (727) 791-7743
Pasadena Center For Asthma & Lung Disorders LLC
27 mi
Pulmonary Disease
5454 CENTRAL AVE STE A
Saint Petersburg, FL 33707
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1396981635 (727) 347-5242
Tampa Bay Pulmonology PA
33 mi
Pulmonary Disease
11373 CORTEZ BLVD STE 303
Brooksville, FL 34613
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1962699959 (352) 686-2972
Florida Hospital Medical Group Inc
73 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100
Appleton Intensivist Group, LLC
78 mi
Critical Care Medicine
1500 SW 1ST AVE
Ocala, FL 34471
  • Reassigned Medicare billing, Florida enrollment
  • 46 clinicians in this Medicare group
NPI 1407411796 (352) 351-7200
Piedmont Specialty Hospital Billing LLC
456 mi
Internal Medicine
1266 HIGHWAY 515 S
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 317 clinicians in this Medicare group
NPI 1699290510 (770) 801-2500
Piedmont Providers LLC
458 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500
Southeast Texas Intensivists, PLLC
722 mi
Critical Care Medicine
2830 CALDER ST
Beaumont, TX 77702
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
NPI 1801579867 (409) 892-7171

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
435 services209 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital Union County

Acute Care Hospitals · New Albany, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250006
Location200 Hwy 30 WestNew Albany, MS 38652 · Union County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%357 patients5/55-star benchmark: 100%
Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
100%33 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. MICHAEL MARTIN WACH MD
Surgery
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-2916
ASTI ELIZABETH REGO APRN
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-7365
MR. NIEMA BRANDON RAZAVIAN MD
Radiology (Radiation Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (137) 457-3658
BRANDON HOLMES
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
FRANCES IVELISSE BERNARDO MERCADO PA-C
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
SADHVI BATRA MD
Obstetrics & Gynecology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-7365
JING WANG M.D.
Pathology (Anatomic Pathology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
MR. MARC VINCENT MANACCI CRNA
Anesthesiology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673

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 Jack Haj Obeid's NPI number?

The NPI number for Jack Haj Obeid is 1104808054. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Jack Haj Obeid located?

Jack Haj Obeid practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (813) 745-7365.

What is Jack Haj Obeid's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Jack Haj Obeid enrolled in Medicare?

Yes. Jack Haj Obeid is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jack Haj Obeid's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Haj Obeid reassigns Medicare benefits to 13 organizations: H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (Tampa, FL), Sound Physicians Of Florida IV, LLC (Tampa, FL), Cogent Healthcare Of Jacksonville, LLC (Clearwater, FL), Pasadena Center For Asthma & Lung Disorders LLC (Saint Petersburg, FL), Tampa Bay Pulmonology PA (Brooksville, FL) and 8 more organizations, listed in the Medicare section above. Each 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 Jack Haj Obeid's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Haj Obeid accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health and 2 other insurers list Jack Haj Obeid as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jack Haj Obeid affiliated with any hospitals?

According to CMS data, Jack Haj Obeid is affiliated with Baptist Memorial Hospital Union County.

When was this NPI record last updated?

The NPPES record for Jack Haj Obeid was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.