DR. MANUEL GIBRAN HAZIM MD
NPI 1487358925
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 29, 2023PECOS Enrolled
600 N WOLFE STREET, BALTIMORE, MD 21264(410) 955-5000 Get Directions Write a Review

NPPES record last updated: May 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2024, Mar 29, 2023 (2 updates tracked since 2023).

About Dr. Manuel Gibran Hazim Md NPPES

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

DR. MANUEL GIBRAN HAZIM MD (NPI 1487358925) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1487358925
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MANUEL GIBRAN HAZIMCredential: MD
Location Address600 N WOLFE STREETBaltimore, MD 21264-2829
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266
Sole ProprietorNo
Enumeration DateMarch 29, 2023
Last NPPES UpdateMay 12, 20242 updates tracked since enumeration
NPPES CertifiedMay 12, 2024
NPI 1487358925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
600 N WOLFE STREET, Baltimore, MD 21264

Secondary Practice Location 1

Location 1201 E. University Parkway, Dept of Internal MedicineBaltimore, MD 21218-2829 · Phone (410) 554-2284 · Fax (410) 554-2184

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Manuel Gibran Hazim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Family Medicine
600 N WOLFE STREET
BALTIMORE, MD 21264
Nurse Practitioner (Acute Care)
600 N WOLFE STREET
BALTIMORE, MD 21264
Ophthalmology
600 N WOLFE STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
600 N WOLFE STREET
BALTIMORE, MD 21264
Pathology (Clinical Pathology/Laboratory Medicine)
600 N WOLFE STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
600 N WOLFE STREET
BALTIMORE, MD 21264
Nurse Anesthetist, Certified Registered
600 N WOLFE STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
600 N WOLFE STREET
BALTIMORE, MD 21264

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 Manuel Hazim's NPI number?

The NPI number for Manuel Hazim is 1487358925. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Manuel Hazim located?

Manuel Hazim practices at 600 N Wolfe Street, Baltimore, MD 21264. The listed phone number is (410) 955-5000.

What is Manuel Hazim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Manuel Hazim enrolled in Medicare?

Yes. Manuel Hazim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manuel Hazim was last updated on May 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.