Active NPI
Muhammad Ikramullah Usmani, MD
- Family Medicine Physician
- Palm Coast, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME105235
- Practice address
- 460 Palm Coast Pkwy SW
Suite 5
Palm Coast, FL 32137-4785 - Phone
- (386) 246-3954
- Fax
- (386) 246-3960
- NPI assigned
- May 25, 2007
- Last updated
- Aug 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME105235 | FL | Primary |
Addresses
Primary practice location
460 Palm Coast Pkwy SW
Suite 5
Palm Coast, FL 32137-4785
Mailing address
1302 River St
Palatka, FL 32177-5042
Phone (386) 326-7342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001335300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
460 Palm Coast Pkwy SW
Suite 5
Palm Coast, FL 32137-4786
Phone (386) 246-3954
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME105235 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Care Incorporated | Current | Accepting new patients | |
| Rural Health Care Incorporated | Current | Accepting new patients | |
| Rural Health Care, Inc. | Current | Accepting new patients | |
| Metcare of Florida, Inc | Past | Accepting new patients |
Locations
1425 Dunn Ave
Daytona Beach, FL 32114
Phone (386) 239-6198
100 Commercial Dr
Keystone Hgts, FL 32656
Phone (352) 473-6595
1302 River St
Palatka, FL 32177
Phone (386) 328-0108
460 Palm Coast Pkwy SW
Ste 5
Palm Coast, FL 32137
Phone (386) 246-3954
Interoperability endpoints
- muhammad.usmani.p1@direct.azahealth.nextgenshare.com
Organizations & group practices 4
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.
-
dba Aza Health
- Federally Qualified Health Center (FQHC)
- Palatka, FL
- NPI 1871569061
-
dba Aza Health
- Federally Qualified Health Center (FQHC)
- Interlachen, FL
- NPI 1477529311
-
dba Aza Health
- Federally Qualified Health Center (FQHC)
- Daytona Beach, FL
- NPI 1891227179
-
dba Conviva Care Center
- Internal Medicine Physician
- Hialeah, FL
- NPI 1902893225
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Palm Coast Parkway
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1154532679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 RIVER ST",
"city": "PALATKA",
"state": "FL",
"postal_code": "321775042",
"telephone_number": "386-326-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 PALM COAST PKWY SW",
"address_2": "SUITE 5",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321374785",
"telephone_number": "386-246-3954",
"fax_number": "386-246-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USMANI",
"first_name": "MUHAMMAD",
"middle_name": "IKRAMULLAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME105235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001335300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.