MAMOON JARRAH MD NPI 1699719468

NPI Information

  • NPI: 1699719468
  • Provider Name: MAMOON JARRAH, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2525 HARBOR BLVD
    SUITE 202
    PORT CHARLOTTE, FL
    ZIP 33952
  • Phone: (941) 613-3773

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NPI Details

Mamoon Jarrah, MD is a vascular surgery surgery in Port Charlotte, FL with 54 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Mamoon Jarrah, MD NPI is 1699719468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2525 HARBOR BLVD
SUITE 202
PORT CHARLOTTE, FL
ZIP 33952-317
Phone: (941) 613-3773
Fax: (941) 629-6770

The NPI 1699719468 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Ultrasound of one side of head and neck blood flow (HCPCS:93882)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Insertion of 2 central venous tubes in 2 veins for infusion (HCPCS:36565)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Balloon dilation of dialysis segment with review by radiologist (HCPCS:36907)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Review by radiologist of additional artery image (HCPCS:75774)
  • Insertion of stent and blood clot protection device in neck artery with review by radiologist (HCPCS:37215)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • Balloon dilation of artery of leg, initial vessel (HCPCS:37228)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 6/15/2006 and was last updated on 2/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryME0040565FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1629729OTHERFLORIDAANTHEM
2066974100MEDICAIDFLORIDA
308118OTHERFLORIDACOMMERCIAL
4629729OTHERTENNESSEEBCBS TENNESSEE
54652614OTHERFLORIDAAETNA
65744032-004OTHERFLORIDACIGNA
708118AMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE
8770002062OTHERFLORIDARR MEDICARE
9D61543MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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