Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Jack Haj Obeid was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days 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.

Active since November 16, 2005PECOS Enrolled

12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-7365(813) 449-8618 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Aug 14, 2025, Jan 18, 2023 and 3 more (6 updates tracked since 2017).

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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 Adventhealth Ocala, 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 7, 20266 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1104808054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 36969 (MS)

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 317929 Hunting Bow Cir Ste 102Lutz, FL 33558 · Phone (813) 751-7855 · Fax (813) 475-5283

Location 49330 State Road 54Trinity, FL 34655-1808 · Phone (727) 834-4000

Other Identifiers 1

Medicaid267303700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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, I20240912003514

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.

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 3

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

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100062

Location1500 SW 1st AveOcala, FL 34474 · Marion County

Emergency services Birthing friendly

Research Medical Center

Acute Care Hospitals · Kansas City, MO

2/5 CMS rating

OwnershipProprietary

CMS Certification Number260027

Location2316 E Meyer BlvdKansas City, MO 64132 · Jackson County

Emergency services Birthing friendly

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520008

Location725 American AveWaukesha, WI 53188 · Waukesha 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