Individual provider Active NPI

Ahmed M Al-Malt, M.D.

  • Maternal & Fetal Medicine Physician
  • Orlando, FL
National Provider Identifier
1063423408
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME74032 Issued in FL
Practice address
615 E Princeton St
Suite 240
Orlando, FL 32803-1456
Phone
(407) 897-3737
Fax
(407) 897-3711
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X ME74032 FL Primary

Addresses

Primary practice location

615 E Princeton St
Suite 240
Orlando, FL 32803-1456

Mailing address

615 E Princeton St
Suite 240
Orlando, FL 32803-1456
Phone (407) 897-3737

Other identifiers 2

IdentifierTypeStateIssuer
42268OtherFLBLUE CROSS/SHIELD
253286700MedicaidFL

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
I20090330000643 FL Practitioner - Obstetrics/Gynecology 1658438031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

133 Benmore Dr
Suite 200
Winter Park, FL 32792-4111
Phone (407) 599-7070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME74032FLMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jan 27, 2018 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 27, 2018 Accepting new patients

Locations

661 E Altamonte Dr
Ste 318
Altamonte Springs, FL 32701
Phone (407) 303-5204

755 Rinehart Rd
Ste 100
Lake Mary, FL 32746
Phone (407) 320-8100

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

615 E Princeton St
Ste 240
Orlando, FL 32803
Phone (407) 303-8877

133 Benmore Dr
Ste 200
Winter Park, FL 32792
Phone (407) 599-6060

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: aalmalt71398@adventhealth.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1063423408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST",
            "address_2": "SUITE 240",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031456",
            "telephone_number": "407-897-3737",
            "fax_number": "407-897-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST",
            "address_2": "SUITE 240",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031456",
            "telephone_number": "407-897-3737",
            "fax_number": "407-897-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-MALT",
        "first_name": "AHMED",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME74032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "42268",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253286700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.