Active NPI
Amir Hesam Etemadnia, M.D.
- Internal Medicine Physician
- Ocoee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 109667
- Practice address
- 10125 W Colonial Dr Ste 101
Ocoee, FL 34761-4212 - Phone
- (407) 777-2503
- Fax
- (407) 777-2523
- NPI assigned
- Mar 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 109667 | FL | Primary |
Addresses
Primary practice location
10125 W Colonial Dr Ste 101
Ocoee, FL 34761-4212
Mailing address
2418 Chelsea St
Orlando, FL 32803-2124
Phone (718) 715-9244
Other practice location 1
1401 Roosevelt Ave
York, PA 17404-2244
Phone (877) 232-5807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MN, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10125 W Colonial Dr
Suite 101
Ocoee, FL 34761-4212
Phone (407) 777-2503
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 109667 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| All About Medicine LLC | Internal Medicine | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Mid-Florida Dermatology Associates P.a. | Past | Accepting new patients |
Locations
10125 W Colonial Dr
Ste 101
Ocoee, FL 34761
Phone (407) 777-2503
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
Networks
- FL HMO C-SNP
- FL PPO
- FL HMO D-SNP
- Freedom Health HMO Network
- FL HMO
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EABIDD/Endpoint/EABIDD
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Ocoee, FL
- NPI 1457154585
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Clinic/Center
- Maple Grove, MN
- NPI 1730485186
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Dermatology Physician
- Orlando, FL
- NPI 1619018561
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1003115098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 CHELSEA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328032124",
"telephone_number": "718-715-9244",
"fax_number": "407-777-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10125 W COLONIAL DR STE 101",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614212",
"telephone_number": "407-777-2503",
"fax_number": "407-777-2523"
}
],
"practiceLocations": [
{
"address_1": "1401 Roosevelt Ave",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174042244",
"country_code": "US",
"telephone_number": "877-232-5807",
"fax_number": "407-777-2523",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ETEMADNIA",
"first_name": "AMIR",
"middle_name": "HESAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-16",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 109667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.