NPIMap

Individual provider Active NPI

Farrukh Ambareen, M.D.

  • Internal Medicine Physician
  • Gainesville, FL
National Provider Identifier
1063404457
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301074916 Issued in MI
Practice address
7109 NW 11TH PL Ste a
Gainesville, FL 32605-3141
Phone
(352) 331-2890
Fax
(352) 331-2915
NPI assigned
Aug 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301074916 MI Primary
Family Medicine Physician 207Q00000X 4301074916 MI

Addresses

Primary practice location

7109 NW 11TH PL Ste a
Gainesville, FL 32605-3141

Mailing address

7109 NW 11TH Place
Suite a
Gainesville, FL 32605
Phone (352) 331-2890

Other identifiers 5

IdentifierTypeStateIssuer
1001400042OtherMIBCBSM
104473357MedicaidMI
104474917MedicaidMI
104473348MedicaidMI
700A460030OtherMIBCBSM - GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070404000536 FL Practitioner - Internal Medicine 0547364267 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7109 NW 11TH PL
Suite a
Gainesville, FL 32605-3141
Phone (352) 331-2890

Hospital & facility affiliations

  • Uf Health Shands Homecare Home health agency, Gainesville, FL, CCN 107142
  • Pinnacle Home Care of the Villages Inc Home health agency, The Villages, FL, CCN 109702
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204
  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301074916MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Internal Medicine of Florida, LLC Internal Medicine CurrentSince May 1, 2013 Accepting new patients
Ambareen PA Internal Medicine CurrentSince Apr 14, 2017 Accepting new patients
Vitas Solutions Inc CurrentSince Jan 31, 2025 Accepting new patients
Florida Laboratory Analysis, LLC Past Accepting new patients
Ascension Borgess Lee Hospital Past Accepting new patients
Acv Community Services, LLC Past Accepting new patients

Locations

7109 NW 11th Pl
Gainesville, FL 32605
Phone (352) 331-1773

7109 NW 11th Pl
Ste A
Gainesville, FL 32605
Phone (352) 331-2890

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

1426 Canyon Ave NE
Ste C
Live Oak, FL 32064
Phone (386) 208-0537

3720 Executive Way
Miramar, FL 33025

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

Organizations & group practices 6

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063404457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 NW 11TH PLACE",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-331-2890",
            "fax_number": "352-331-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 NW 11TH PL STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053141",
            "telephone_number": "352-331-2890",
            "fax_number": "352-331-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBAREEN",
        "first_name": "FARRUKH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301074916",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301074916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1001400042",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104473357",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104474917",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104473348",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM - GROUP",
            "identifier": "700A460030",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.