Individual provider Active NPI

Ashik Nisar Ahmad, MD

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Jupiter, FL
National Provider Identifier
1104802305
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
ME93391 Issued in FL
Practice address
1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone
(239) 343-6260
Fax
(239) 343-6259
NPI assigned
Dec 20, 2005
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X ME93391 FL Primary
Pediatrics Physician 208000000X ME93391 FL
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X ME93391 FL

Addresses

Primary practice location

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205

Mailing address

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-4460

Other practice location 1

3100 SW 62nd Ave
Miami, FL 33155-3009
Phone (954) 494-1817

Other identifiers 2

IdentifierTypeStateIssuer
274236500MedicaidFL
29462OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070918000495 FL Practitioner - Pediatric Medicine 2365536604 Reassigns benefits to 5 organizations
I20250414001044 AZ Practitioner - Pediatric Medicine 2365536604 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93391FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC Pediatrics CurrentSince Nov 7, 2024 Accepting new patients
Sterling Emergency Services of Florida PA Current Accepting new patients
Sterling Emergency Services of Florida PA CurrentSince Jan 25, 2024 Accepting new patients
Sterling Emergency Services of Florida PA CurrentSince Jan 25, 2024 Accepting new patients
Southwest Florida Emergency Management LLC CurrentSince Oct 14, 2020 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC CurrentSince Dec 1, 2022 Accepting new patients
Ies Arizona PLLC CurrentSince Apr 1, 2025 Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Oct 5, 2022 Accepting new patients
FL-I Medical Services, LLC Past Accepting new patients

Locations

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

200 NW 7th Ave
Ft Lauderdale, FL 33311
Phone (954) 355-5110

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1104802305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 S OLD DIXIE HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587205",
            "telephone_number": "561-263-4460",
            "fax_number": "239-343-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S OLD DIXIE HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587205",
            "telephone_number": "239-343-6260",
            "fax_number": "239-343-6259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331553009",
            "country_code": "US",
            "telephone_number": "954-494-1817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "ASHIK",
        "middle_name": "NISAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "ME93391",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME93391",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "ME93391",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274236500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "29462",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.