Individual provider Active NPI

Moiz Ahmed Zahid

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1174197776
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME165914 Issued in FL
Practice address
2724 N Hiawassee Rd Ste 100
Orlando, FL 32818-3003
Phone
(407) 906-0082
Fax
(407) 604-2606
NPI assigned
May 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME165914 FL Primary

Addresses

Primary practice location

2724 N Hiawassee Rd Ste 100
Orlando, FL 32818-3003

Mailing address

2724 N Hiawassee Rd Ste 100
Orlando, FL 32818-3003
Phone (407) 906-0082

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124000166 FL Practitioner - Family Practice 9335591510 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME165914FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Mar 1, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince May 19, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC PastSince May 19, 2024 Accepting new patients

Locations

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2724 N Hiawassee Rd
Ste 100
Orlando, FL 32818
Phone (407) 906-0082

2724 N Hiawassee Rd
Ste 200
Orlando, FL 32818
Phone (407) 906-0082

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mzahid18440@prd.direct.tbh.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1174197776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 N HIAWASSEE RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183003",
            "telephone_number": "407-906-0082",
            "fax_number": "407-604-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 N HIAWASSEE RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183003",
            "telephone_number": "407-906-0082",
            "fax_number": "407-604-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHID",
        "first_name": "MOIZ",
        "middle_name": "AHMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME165914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.