Organization Active NPI

Respiratory and Sleep Disorders Center

  • Multi-Specialty Clinic/Center
  • Davenport, FL
National Provider Identifier
1174062053
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
RESPIRATORY AND SLEEP DISORDERS CENTER
Practice address
2400 North Blvd. W
Suite 1
Davenport, FL 33837
Phone
(863) 421-5864
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Dr. Naeem Z Ahmed, MDNPI 1942252317
Title
Practice Owner
Phone
(863) 421-5864

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2400 North Blvd. W
Suite 1
Davenport, FL 33837

Mailing address

2400 North Blvd W Ste 1
Davenport, FL 33837-8980
Phone (863) 421-5864

Other practice location 1

3225 Hillsdale Ln
Kissimmee, FL 34741-7561
Phone (863) 421-5864 ext. 86342

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170613001345 FL Part B Supplier - Clinic/Group Practice 1951679117 Receives reassigned benefits from 2 practitioners
Practice locations: Davenport, FL; Kissimmee, FL

National Provider Directory

National Provider Directory

Locations

15815 Shaddock Dr
Unit 1
Winter Garden, FL 34787

Practitioners & affiliated clinicians

Practitioners 3

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": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1174062053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NORTH BLVD W STE 1",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378980",
            "telephone_number": "863-421-5864",
            "fax_number": "863-419-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NORTH BLVD. W",
            "address_2": "SUITE 1",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33837",
            "telephone_number": "863-421-5864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3225 Hillsdale Ln",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417561",
            "country_code": "US",
            "telephone_number": "863-421-5864 x86342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESPIRATORY AND SLEEP DISORDERS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "NAEEM",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "863-421-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.