Individual provider Active NPI

Ahad Mahootchi, MD

  • Ophthalmology Physician
  • Zephyrhills, FL
National Provider Identifier
1043218118
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
72135 Issued in FL
Practice address
6739 Gall Blvd
Zephyrhills, FL 33542-2522
Phone
(813) 779-3338
Fax
(813) 779-3318
NPI assigned
Jul 12, 2005
Last updated
Jan 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 72135 FL Primary

Addresses

Primary practice location

6739 Gall Blvd
Zephyrhills, FL 33542-2522

Mailing address

PO Box 1059
Zephyrhills, FL 33539-1059
Phone (813) 779-3338

Other identifiers 1

IdentifierTypeStateIssuer
32672OtherFLBLUE SHIELD

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
I20050413001164 FL Practitioner - Ophthalmology 1456306661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Vanderbilt University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahad Mahootchi MD PAGroup PAC ID 2466407671, 2 clinicians

Practice addresses (Care Compare)

6739 Gall Blvd
Zephyrhills, FL 33542-2522
Phone (813) 779-3338

Merit-based Incentive Payment System (MIPS)

Final score
95.84 of 100Reported as group
Quality
91.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery401
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72135FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahad Mahootchi, MD, PA Ophthalmology CurrentSince Feb 22, 2005 Accepting new patients
Same Day Surgery Centers of Florida LLC PastSince Oct 28, 2004 Accepting new patients

Locations

6739 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 779-3338

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: am@ecof.direct.eyemdemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1043218118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1059",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335391059",
            "telephone_number": "813-779-3338",
            "fax_number": "813-779-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6739 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422522",
            "telephone_number": "813-779-3338",
            "fax_number": "813-779-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHOOTCHI",
        "first_name": "AHAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "72135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "32672",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.