Aziz Imtiaz, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME94323 Issued in FL

Practice address

1412 W Vine St
Kissimmee, FL 34741-4051

Phone

(407) 483-0672

Fax

(407) 348-5882

NPI assigned

Jul 16, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADIABD/Endpoint/ADIABD

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.

• PM Pediatrics PA

  • Pediatrics Physician
  • Kissimmee, FL
  • NPI 1508071374
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1023035987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 BOCA POINTE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365800",
            "telephone_number": "407-944-4450",
            "fax_number": "407-944-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414051",
            "telephone_number": "407-483-0672",
            "fax_number": "407-348-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMTIAZ",
        "first_name": "AZIZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME94323",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME94323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imaging Medical Center LLC
• Sarah Nicole Imhoff
• Santhosh Immanuel
• Impower
• Improving Future Inc
• Sarah Josephine Inbornone, DO
• Nadine Starr Incle
• Petula Sadhana Indar, ARNP
• Independent Anesthesia Services PA
• Individual Education Plan Academy

• Pediatrics Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.