Maryam Fahda, MD
NPI 1053170621 · Student in an Organized Health Care Education/Training Program · Brooksville, FL
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maryam Fahda, MD is a Student in an Organized Health Care Education/Training Program provider in Brooksville, FL (NPI 1053170621).
Provider details
- NPI number
- 1053170621
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-03-18
- Last updated
- 2024-03-18
- Certified
- 2024-03-16
Frequently asked questions
- What is Maryam Fahda's NPI number?
- Maryam Fahda's National Provider Identifier (NPI) is 1053170621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maryam Fahda's specialty?
- Maryam Fahda is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Maryam Fahda located?
- Maryam Fahda's practice location on file with NPPES is 11375 Cortez Blvd, Brooksville, FL 34613-5409.
- What is Maryam Fahda's phone number?
- The practice phone number listed in the NPPES registry for Maryam Fahda is (352) 592-3908.
- Does Maryam Fahda accept Medicare?
- Maryam Fahda is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maryam Fahda's NPI active?
- Yes — Maryam Fahda's NPI (1053170621) is active in the NPPES registry as of the last update on 2024-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.