Individual provider Active NPI

Musaddeque Ahmad, M.D.

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1093738742
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME125496 Issued in FL
Practice address
811 N Nowell St
Orlando, FL 32808-7538
Phone
(407) 290-9556
Fax
(407) 290-9509
NPI assigned
Jul 25, 2006
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME125496 FL Primary

Addresses

Primary practice location

811 N Nowell St
Orlando, FL 32808-7538

Mailing address

6900 Tavistock Lakes Blvd Ste 300
Orlando, FL 32827-7592
Phone (321) 332-6947

Other practice location 1

904 Lee Rd Ste 200
Orlando, FL 32810-5561
Phone (407) 732-7373

Other practice location 2

3105 Citrus Tower Blvd Ste B
Clermont, FL 34711-6892
Phone (352) 259-2159

Other practice location 3

731 N Clyde Morris Blvd
Daytona Beach, FL 32114-1603
Phone (386) 257-1626

Other identifiers 2

IdentifierTypeStateIssuer
015947400MedicaidFL
ME125496OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151105002211 FL Practitioner - Internal MedicinePractitioner - Family Practice 5092799130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2237 Ridgewind Way
Windermere, FL 34786-5823

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Healthcare System, LLC CurrentSince Jan 23, 2026 Accepting new patients
Musaddeque Ahmad M.D. Inc. Internal Medicine Current Accepting new patients
Orlando Family Physicians, LLC CurrentSince Jan 28, 2024 Accepting new patients
Musaddeque Ahmad,MD,PC CurrentSince Sep 1, 1998 Accepting new patients
Lakeview Healthcare System, LLC Internal Medicine CurrentSince Jan 23, 2026 Accepting new patients
Hospitalist Healthcare Services PLLC Internal Medicine Past Accepting new patients
Jefferson Physician Network, LLC Past Accepting new patients
Idelis Fedeslinda Arias de la Torre PastSince Jan 28, 2024 Accepting new patients

Locations

1801 US Highway 441
Bldg 100
Leesburg, FL 34748
Phone (352) 460-4004

18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755

6336 W Colonial Dr
Orlando, FL 32818
Phone (407) 259-2383

6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947

811 N Nowell St
Orlando, FL 32808
Phone (407) 259-2383

10250 SE 167th Place Rd
Unit 5
Summerfield, FL 34491
Phone (352) 307-9225

1390 US Highway 61
Ste 2100
Crystal Cty, MO 63028
Phone (636) 933-6300

1 Kwan Plz
Potosi, MO 63664
Phone (573) 438-1899

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1093738742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277592",
            "telephone_number": "321-332-6947",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N NOWELL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087538",
            "telephone_number": "407-290-9556",
            "fax_number": "407-290-9509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 Lee Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328105561",
            "country_code": "US",
            "telephone_number": "407-732-7373",
            "fax_number": "407-723-4842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3105 Citrus Tower Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116892",
            "country_code": "US",
            "telephone_number": "352-259-2159",
            "fax_number": "352-259-5731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 N Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321141603",
            "country_code": "US",
            "telephone_number": "386-257-1626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "MUSADDEQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME125496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015947400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME125496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.