Ashik Jivan

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD456286 Issued in PA

Practice address

26645 Middleground Loop
Wesley Chapel, FL 33544-1528

Phone

(813) 846-3581

NPI assigned

May 26, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Specialty

Anesthesiology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Lake Health Springhill LLCGroup PAC ID 2365830007, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Springhill Medical Center Hospital, Mobile, AL, CCN 010144

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Blue Lake Health Springhill, LLC

  • Anesthesiology Physician
  • Mobile, AL
  • NPI 1194496216
  Medicare reassignment Care Compare group NPD
• Physynergy, LLC

  • Anesthesiology Physician
  • Huntsville, AL
  • NPI 1134465560
  Medicare reassignment NPD
• Physynergy, LLC

  • Anesthesiology Physician
  • Mobile, AL
  • NPI 1093173502
  NPD
• Physynergy, LLC

  • Anesthesiology Physician
  • Huntsville, AL
  • NPI 1780060079
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Springhill Hospitals, Inc

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1003814971
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1114210945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26645 MIDDLEGROUND LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335441528",
            "telephone_number": "813-846-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26645 MIDDLEGROUND LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335441528",
            "telephone_number": "813-846-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIVAN",
        "first_name": "ASHIK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD456286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jiannetto Institute LLC
• Deepthi Jijo Olassa, MD
• Jill Langer, PH.D., LLC
• Jose Daniel Jimenez, M.D.
• Sydney Lucila Jimenez, MD
• JMZ Adaptive Driving & SS Wheelchair Transport Service
• JMZ Adaptive Driving & Wheelchair Transport Service
• Marcia Kay Johansson, APRN
• Jeny K John, FNP-C
• Natalie Johns, D.C.

• Anesthesiology Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.