NPIMap

Individual provider Active NPI

Alaa Eldin Kandil, MD

  • Internal Medicine Physician
  • Clermont, FL
National Provider Identifier
1144583899
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 115928 Issued in FL
Practice address
1920 Don Wickham Dr Ste 335
Clermont, FL 34711-1978
Phone
(352) 708-8211
Fax
(855) 264-9607
NPI assigned
Jun 18, 2012
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 115928 FL Primary

Addresses

Primary practice location

1920 Don Wickham Dr Ste 335
Clermont, FL 34711-1978

Mailing address

PO Box 120518
Clermont, FL 34712-0518
Phone (352) 708-8211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140218001631 FL Practitioner - Internal Medicine 4880849421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Eracare Physicians, LLCGroup PAC ID 2567741846, 3 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2040 Oakley Seaver Dr
Suite 300
Clermont, FL 34711-1962
Phone (352) 708-8211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 115928FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Apr 1, 2014 Accepting new patients
Eracare Physicians LLC Internal Medicine CurrentSince Aug 15, 2016 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Apr 1, 2014 Accepting new patients
Compassionate Care Hospice of Lake and Sumter Inc CurrentSince Apr 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

1920 Don Wickham Dr
Ste 335
Clermont, FL 34711
Phone (352) 389-0605

2040 Oakley Seaver Dr
Ste 300
Clermont, FL 34711
Phone (352) 708-8211

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

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

304 Lagrande Blvd
The Villages, FL 32159
Phone (352) 415-0773

3854 American Way
Ste A
Baton Rouge, LA 70816
Phone (225) 299-3253

Interoperability endpoints

  • Direct secure messaging: akandil@direct.meditouchehr.com

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1144583899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120518",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347120518",
            "telephone_number": "352-708-8211",
            "fax_number": "855-264-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 DON WICKHAM DR STE 335",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111978",
            "telephone_number": "352-708-8211",
            "fax_number": "855-264-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDIL",
        "first_name": "ALAA",
        "middle_name": "ELDIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 115928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.