Organization Active NPI

Rayyan Neurological Association LLC

  • Neurology Physician
  • Orlando, FL
National Provider Identifier
1164995528
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
RAYYAN NEUROLOGICAL ASSOCIATION LLC
Practice address
10022 Crystalline CT
Orlando, FL 32836-6024
Phone
(646) 431-6976
NPI assigned
Jan 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Dr. Shafiuddin Ahmed, MDNPI 1962666941
Title
Neurologist
Phone
(646) 431-6976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

10022 Crystalline CT
Orlando, FL 32836-6024

Mailing address

10022 Crystalline CT
Orlando, FL 32836-6024
Phone (646) 431-6976

Other identifiers 1

IdentifierTypeStateIssuer
009273800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190415002934 FL Part B Supplier - Clinic/Group Practice 8628319928 Receives reassigned benefits from 1 practitioner
Practice locations: Apopka, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1164995528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10022 CRYSTALLINE CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366024",
            "telephone_number": "646-431-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10022 CRYSTALLINE CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366024",
            "telephone_number": "646-431-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYYAN NEUROLOGICAL ASSOCIATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SHAFIUDDIN",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "646-431-6976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009273800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.