NPIMap

Individual provider Active NPI

Ahmad Haris, MD

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1134534050
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NE153189 Issued in FL
Practice address
9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone
(321) 842-8505
NPI assigned
Jun 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME153189 FL
Internal Medicine Physician 207R00000X 94-08711 KS
Hospitalist Physician 208M00000X 82277 WI
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X NE153189 FL Primary

Addresses

Primary practice location

9400 Turkey Lake Rd
Orlando, FL 32819-8001

Mailing address

1414 Kuhl Ave # MP38
Orlando, FL 32806-2008
Phone (321) 842-4713

Other practice location 1

5900 Lake Ellenor Dr Ste 700
Orlando, FL 32809-4643
Phone (407) 352-2542

Other practice location 2

4882 Quality Trl
Orlando, FL 32829-8203
Phone (407) 440-3004

Other practice location 3

700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100

Other practice location 4

515 22nd Ave
Monroe, WI 53566-1569
Phone (608) 324-2000

Other identifiers 1

IdentifierTypeStateIssuer
1134534050MedicaidWI

Electronic endpoints 5

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address providerenrollment@orlandohealth.com
Direct Messaging Address aharis504371@direct-ehr-ssmhc.com Direct
Direct Messaging Address aharis504371@direct-ehr-ssmhc.com Direct
FHIR URL https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI, IN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220307002653 FL Practitioner - Internal MedicinePractitioner - Hospitalist 1456665595 Reassigns benefits to 3 organizations
I20240307003675 WI Practitioner - Hospitalist 1456665595 Reassigns benefits to 3 organizations
I20260311001842 IN Practitioner - Emergency Medicine 1456665595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians

Practice addresses (Care Compare)

700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital - Madison Hospital, Madison, WI, CCN 520083
  • SSM Health St Mary'S Hospital - Janesville Hospital, Janesville, WI, CCN 520208
  • SSM Health St Clare Hospital - Baraboo Hospital, Baraboo, WI, CCN 520057
  • Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071
  • Marshfield Medical Center - Beaver Dam (MMC-BD) Hospital, Beaver Dam, WI, CCN 520076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NE153189FLMDInternal Medicine Physician
94-08711KSMDInternal Medicine Physician
82277WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation Multi-Specialty CurrentSince May 8, 2024 Accepting new patients
Mercy Health System Corporation Multi-Specialty CurrentSince May 8, 2024 Accepting new patients
Dean Health Systems, Inc. CurrentSince Feb 23, 2024 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Dean Health Systems, Inc Multi-Specialty CurrentSince Feb 23, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients
New Albany Hospitalist Group, LLC Multi-Specialty CurrentSince Feb 10, 2026 Accepting new patients
The Monroe Clinic, Inc. Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Inpatient Medicine Associates Imac PL Multi-Specialty CurrentSince Jun 1, 2022 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Orlando Health Medical Group Inc Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
Hospital Physician Services of Florida PA Multi-Specialty CurrentSince Jun 1, 2022 Accepting new patients

Locations

1920 Don Wickham Dr
Clermont, FL 34711
Phone (352) 243-5891

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

587 E State Road 434
Longwood, FL 32750
Phone (407) 896-1100

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179

7727 Lk Under Hl
Orlando, FL 32822
Phone (407) 303-6413

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

3745 11th Cir
Ste 105
Vero Beach, FL 32960
Phone (772) 564-2485

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • Direct secure messaging: aharis504371@direct-ehr-ssmhc.com
  • Direct secure messaging: aharis326549@orlandohealth.medalliesdirect.net

Organizations & group practices 12

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1134534050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 KUHL AVE # MP38",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062008",
            "telephone_number": "321-842-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 TURKEY LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198001",
            "telephone_number": "321-842-8505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Lake Ellenor Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328094643",
            "country_code": "US",
            "telephone_number": "407-352-2542",
            "fax_number": "407-352-2547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4882 Quality Trl",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328298203",
            "country_code": "US",
            "telephone_number": "407-440-3004",
            "fax_number": "407-429-3899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 S Park St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151830",
            "country_code": "US",
            "telephone_number": "608-251-6100",
            "fax_number": "608-258-6259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WI",
            "postal_code": "535661569",
            "country_code": "US",
            "telephone_number": "608-324-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARIS",
        "first_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME153189",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "94-08711",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "82277",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "NE153189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134534050",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "providerenrollment@orlandohealth.com",
            "affiliation": "N",
            "address_1": "9400 Turkey Lake Rd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328198001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aharis504371@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "aharis504371@direct-ehr-ssmhc.com",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aharis504371@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "aharis504371@direct-ehr-ssmhc.com",
            "address_1": "515 22nd Ave",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "515 22nd Ave",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.