Individual provider Active NPI

Andria Michael Mushahwar, MD

  • Gastroenterology Physician
  • Maitland, FL
National Provider Identifier
1023110814
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME92829 Issued in FL
Practice address
740 Concourse Pkwy S Ste 200
Maitland, FL 32751
Phone
(407) 644-4014
Fax
(407) 644-5270
NPI assigned
Sep 2, 2006
Last updated
Jun 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME92829 FL Primary

Addresses

Primary practice location

740 Concourse Pkwy S Ste 200
Maitland, FL 32751

Mailing address

401 Commerce St Ste 600
Nashville, TN 37219-2518
Phone (615) 345-6900

Other identifiers 2

IdentifierTypeStateIssuer
U5909YOtherFLMEDICARE
273985200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929000370 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 3173500816 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
George Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

740 Concourse Pkwy S
Suite 100
Maitland, FL 32751-8101
Phone (407) 644-4222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
69.32
Promoting interoperability
100
Improvement activities
40
Cost
72.03

Merit-based Incentive Payment System (MIPS)

Final score
85.21 of 100Reported as group
Quality
77.38
Improvement activities
40
Cost
77.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy55
Upper gastrointestinal (GI) endoscopy for acid reflux53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC Gastroenterology CurrentSince Apr 24, 2026 Accepting new patients
Cfagi, LLC Gastroenterology CurrentSince Jan 1, 2017 Accepting new patients
Gastro Health, LLC Gastroenterology CurrentSince Apr 24, 2026 Accepting new patients
Tenet Florida Physician Services LLC Gastroenterology CurrentSince Jun 1, 2024 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jun 1, 2024 Accepting new patients
Kentuckyone Health Medical Group, Inc. Past Accepting new patients
Gastro Health LLC Gastroenterology Past Accepting new patients

Locations

8825 Perimeter Park Blvd
Ste 102
Jacksonville, FL 32216
Phone (904) 399-4004

260 Lookout Pl
Ste 201
Maitland, FL 32751
Phone (407) 544-4014

740 Concourse Pkwy S
Ste 100
Maitland, FL 32751
Phone (407) 644-4222

740 Concourse Pkwy S
Ste 200
Maitland, FL 32751
Phone (407) 644-4014

401 Commerce St
Ste 600
Nashville, TN 37219
Phone (615) 345-6900

Networks

  • FL PPO
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1023110814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE ST STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192518",
            "telephone_number": "615-345-6900",
            "fax_number": "615-345-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 CONCOURSE PKWY S STE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-644-4014",
            "fax_number": "407-644-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHAHWAR",
        "first_name": "ANDRIA",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME92829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "U5909Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273985200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.