Individual provider Active NPI

Iman Ahmed, ARNP

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1093339293
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11006704 Issued in FL
Practice address
903 W Oak St
Kissimmee, FL 34741-4941
Phone
(407) 846-4000
Fax
(407) 846-4808
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11006704 FL Primary

Addresses

Primary practice location

903 W Oak St
Kissimmee, FL 34741-4941

Mailing address

PO Box 421626
Kissimmee, FL 34742-1626
Phone (407) 846-4000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201106001754 FL Practitioner - Nurse Practitioner 9830511369 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma Allergy & Immunology PA CurrentSince Jul 1, 2020 Accepting new patients
Asthma Allergy and Immunology PastSince Jun 7, 2020 Accepting new patients

Locations

903 W Oak St
Kissimmee, FL 34741
Phone (407) 846-4000

3123 Innovation Dr
Saint Cloud, FL 34769
Phone (407) 846-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1093339293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421626",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347421626",
            "telephone_number": "407-846-4000",
            "fax_number": "407-846-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414941",
            "telephone_number": "407-846-4000",
            "fax_number": "407-846-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "IMAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11006704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.