Individual provider Active NPI

Sinan Ahmad

  • Family Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1104717834
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11040826 Issued in FL
Practice address
2236 Green Hedges Way
Wesley Chapel, FL 33544-8189
Phone
(813) 999-0505
Fax
(813) 999-0505
NPI assigned
Jul 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11040826 FL Primary

Addresses

Primary practice location

2236 Green Hedges Way
Wesley Chapel, FL 33544-8189

Mailing address

2236 Green Hedges Way
Wesley Chapel, FL 33544-8189
Phone (813) 999-0505

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
I20250731000490 FL Practitioner - Nurse Practitioner 1951819143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

12662 Telecom Dr
Temple Terrace, FL 33637-0935
Phone (813) 910-0030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11040826FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians , LLC CurrentSince Nov 1, 2025 Accepting new patients
Florida Kidney Physicians, LLC CurrentSince Nov 1, 2025 Accepting new patients
Wiregrass Direct Primary Care PLLC CurrentSince Jul 29, 2025 Accepting new patients
Florida Medical Clinic, LLC PastSince Jul 13, 2025 Accepting new patients

Locations

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

2236 Green Hedges Way
Wesley Chapel, FL 33544
Phone (813) 358-3578

2726 Windguard Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 907-6774

Interoperability endpoints

  • Direct secure messaging: sinan.ahmad.1@23694.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sinan.ahmad.1@15644.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23694/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1104717834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 GREEN HEDGES WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448189",
            "telephone_number": "813-999-0505",
            "fax_number": "813-999-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 GREEN HEDGES WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448189",
            "telephone_number": "813-999-0505",
            "fax_number": "813-999-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SINAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11040826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.