Ahmed A Fadairo, MD
Individual provider Active NPI Internal Medicine Physician · Westwego, LA
NPI 1154948818 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1154948818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME160587 (FL)
- Practice address
- 1070 Westbank Expy
Westwego, LA 70094-4713 - Phone
- (504) 688-2211
- NPI assigned
- Jun 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sound Physicians of Florida VI LLC
Practice addresses (Care Compare)
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 771-8000
Hospital & facility affiliations
- Shands Jacksonville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230621001917 | FL | Practitioner - Internal Medicine | 8628491685 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Jacksonville, LLC | Internal Medicine | Current |
Accepting new patients |
| Sound Physicians of Florida VI LLC | Internal Medicine | Current |
Accepting new patients |
| Cogent Healthcare of Jacksonville, LLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Jacksonville, LLC | Internal Medicine | Current |
Accepting new patients |
| PMR la Holding, LLC | Past |
Accepting new patients | |
| PMR la Holding, LLC | Past |
Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Interoperability endpoints
- afadairo633295@direct.shands.ufl.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MD | ||
| Internal Medicine Physician | 207R00000X | ME160587 | FL | Yes |
Addresses
Primary practice location
1070 Westbank Expy
Westwego, LA 70094-4713
Mailing address
655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-0411
Other practice location 1
655 W 8th St
Jacksonville, FL 32209-6511
Phone (904) 244-0411
Other practice location 2
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-7639
Other providers in Westwego, LA
- Karol Davis
- Shaquinta Davis
- Tanya Green Delaune
- Destined for Love LLC
- Divine M3 Transportation
- Ravae Flowers
- Nakia Arriyan Frazier
- Goddess Patient Care Advocates L.L.C
- Kelly Goodwin
- Catina Gordon-Oates
All providers in Westwego, LA · Internal Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.