Active NPI
Aneesa Batool Ahmad, M.D.,PA
- Pediatrics Physician
- Altamonte Springs, FL
National Provider Identifier
1164410866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 37194
- Practice address
- 608 Maitland Ave
Altamonte Springs, FL 32701-6834 - Phone
- (407) 331-5437
- Fax
- (407) 622-7639
- NPI assigned
- Oct 7, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0037194 | FL | |
| Pediatrics Physician | 208000000X | 37194 | FL | Primary |
Addresses
Primary practice location
608 Maitland Ave
Altamonte Springs, FL 32701-6834
Mailing address
608 Maitland Ave
Altamonte Springs, FL 32701-6834
Phone (407) 331-5437
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065310100 | Medicaid | FL | |
| D85768 | Other | FL | FHHS PROVIDER NUMBER |
| 069285 | Other | FL | AETNA PROVIDER NUMBER |
| 1725955002 | Other | FL | CIGNA PAL NUMBER |
| 593140433 | Other | FL | HUMANA PROVIDER NUMBER |
| 47397 | Other | FL | BLUE CROSS BLUE SHEILD |
Other names 1
- Aneesa Batool
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0037194 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1164410866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 MAITLAND AVE",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327016834",
"telephone_number": "407-331-5437",
"fax_number": "407-622-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 MAITLAND AVE",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327016834",
"telephone_number": "407-331-5437",
"fax_number": "407-622-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "ANEESA",
"middle_name": "BATOOL",
"name_prefix": "Dr.",
"credential": "M.D.,PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-07",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0037194",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "37194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "065310100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FHHS PROVIDER NUMBER",
"identifier": "D85768",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "069285",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PAL NUMBER",
"identifier": "1725955002",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA PROVIDER NUMBER",
"identifier": "593140433",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "47397",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANEESA",
"last_name": "BATOOL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.