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DR. ABDULAZIZ FAHED AL MANA M.D.
NPI 1649776170
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-8381(305) 585-2598 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2026, Apr 22, 2019 (2 updates tracked since 2019).

About Dr. Abdulaziz Fahed Al Mana M.d. NPPES

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

DR. ABDULAZIZ FAHED AL MANA M.D. (NPI 1649776170) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1649776170
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ABDULAZIZ FAHED AL MANACredential: M.D.
Location Address1611 NW 12TH AVEMiami, FL 33136
Mailing Address1611 Nw 12th Ave, Room 2044, Pathology Residency Program Coordinator, Holtz CenterMiami, FL 33136 · (305) 585-8381 · Fax (305) 585-2598
Phone(305) 585-8381
Fax(305) 585-2598
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 3, 2018
Last NPPES UpdateApril 22, 20192 updates tracked since enumeration
✔ NPI 1649776170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1611 NW 12TH AVE, Miami, FL 33136
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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. Abdulaziz Fahed Al Mana 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 ID7416303565
PECOS Enrollment IDI20241107000302
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.

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

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. AKUA GYANEWAH ASARE MD
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-8264
MARILUZ SANCHEZ PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Miami-Dade County (305) 585-7309
DR. TASHA JOYTI N. D. COOKE TASHA COOKE
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3670
DR. JUANITA ANN MARIE HUNTER M.D.
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6042
WANDA LAVERNE MCGOWAN-BRAYNEN ARNP
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
DR. PERTTI KALEVI HAKALA M.D.
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Miami-Dade County (305) 585-6970
JAYLOU M VELEZ TORRES M.D.
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-8381
ANNE-ISABELLE SOPHIA REME MD
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1280

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 Abdulaziz Al Mana's NPI number?

The NPI number for Abdulaziz Al Mana is 1649776170. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Abdulaziz Al Mana located?

Abdulaziz Al Mana practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-8381.

What is Abdulaziz Al Mana's specialty?

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

Is Abdulaziz Al Mana enrolled in Medicare?

Yes. Abdulaziz Al Mana 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.

Is Abdulaziz Al Mana affiliated with any hospitals?

According to CMS data, Abdulaziz Al Mana is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Abdulaziz Al Mana was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.