Individual provider Active NPI

Ghazala Ijaz Ahmed, M.D.

  • Specialist
  • Orlando, FL
National Provider Identifier
1104961127
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0059456 Issued in FL
Practice address
8980 Kilgore Rd
Orlando, FL 32836-5414
Phone
(407) 876-7631
Fax
(407) 876-8235
NPI assigned
Feb 20, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0059456 FL Primary

Addresses

Primary practice location

8980 Kilgore Rd
Orlando, FL 32836-5414

Mailing address

8980 Kilgore Rd
Orlando, FL 32836-5414
Phone (407) 876-7631

Other identifiers 1

IdentifierTypeStateIssuer
ME0059456OtherFLMEDICAL LICENCE

Other names 1

  • Ghazala Ahmed Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0059456FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Medical Center LLC Current Accepting new patients
Winter Park Neonatology Specialist Past Accepting new patients
Igkha LLC Past Accepting new patients

Locations

836 Paul St
Orlando, FL 32808
Phone (407) 295-2039

Organizations & group practices 3

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1104961127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8980 KILGORE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365414",
            "telephone_number": "407-876-7631",
            "fax_number": "407-876-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8980 KILGORE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365414",
            "telephone_number": "407-876-7631",
            "fax_number": "407-876-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "GHAZALA",
        "middle_name": "IJAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0059456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "ME0059456",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GHAZALA",
            "last_name": "AHMED",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.