Active NPI
Andria Michael Mushahwar, MD
- Gastroenterology Physician
- Maitland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME92829
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U5909Y | Other | FL | MEDICARE |
| 273985200 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- 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 100
- Quality
- 69.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.03
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.21 of 100
- Quality
- 77.38
- Improvement activities
- 40
- Cost
- 77.2
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 55 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 53 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Health, LLC | Gastroenterology | Current | Accepting new patients |
| Cfagi, LLC | Gastroenterology | Current | Accepting new patients |
| Gastro Health, LLC | Gastroenterology | Current | Accepting new patients |
| Tenet Florida Physician Services LLC | Gastroenterology | Current | Accepting new patients |
| Tenet Florida Physician Services, LLC | Current | 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.
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
Gastroenterology
-
- Gastroenterology Physician
- Maitland, FL
- NPI 1467901520
-
- Gastroenterology Physician
- Miami, FL
- NPI 1487767133
-
- Gastroenterology Physician
- Pembroke Pines, FL
- NPI 1457026932
-
- Gastroenterology Physician
- Orlando, FL
- NPI 1568194306
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
-
dba CHI Saint Joseph Medical Group
- Family Medicine Physician
- Lexington, KY
- NPI 1104875970
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.