Individual provider Active NPI

Mohammed Waheed Kaashmiri, MD

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1184614992
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME118440 Issued in FL
Practice address
5900 S John Young Pkwy
Orlando, FL 32839-3716
Phone
(497) 434-8171
Fax
(407) 506-0003
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X 202564-1 NY
Pediatrics Physician 208000000X ME118440 FL Primary

Addresses

Primary practice location

5900 S John Young Pkwy
Orlando, FL 32839-3716

Mailing address

11744 Vinci Dr
Windermere, FL 34786-5684
Phone (315) 269-6393

Other identifiers 2

IdentifierTypeStateIssuer
013080800MedicaidFL
01833614MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI, MS, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160210000413 FL Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 7012053242 Reassigns benefits to 2 organizations
I20180718001769 WI Practitioner - Pediatric Medicine 7012053242 Reassigns benefits to 2 organizations
I20201016001277 MS Practitioner - Pediatric Medicine 7012053242 Reassigns benefits to 2 organizations
I20230608002095 TX Practitioner - Pediatric Medicine 7012053242 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME118440FLMDPediatrics Physician
202564-1NYMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Oct 5, 2020 Accepting new patients
Tampa Bay Emergency Physicians-Heartland LLC CurrentSince Apr 19, 2021 Accepting new patients
Singing River Health System CurrentSince Oct 5, 2020 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC CurrentSince Jan 1, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 9, 2018 Accepting new patients
Singing River Gulfport CurrentSince Feb 23, 2021 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jun 5, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 9, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 9, 2018 Accepting new patients
Singing River Gulfport CurrentSince Feb 23, 2021 Accepting new patients
Singing River Gulfport Past Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics Past Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics PastSince Dec 21, 2021 Accepting new patients
Singing River Health System Past Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics PastSince Dec 21, 2021 Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics PastSince Dec 21, 2021 Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics PastSince Dec 21, 2021 Accepting new patients

Locations

400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

7727 Lk Under Hl
Orlando, FL 32822
Phone (407) 303-6413

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363

3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1184614992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11744 VINCI DR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865684",
            "telephone_number": "315-269-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 S JOHN YOUNG PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328393716",
            "telephone_number": "497-434-8171",
            "fax_number": "407-506-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAASHMIRI",
        "first_name": "MOHAMMED",
        "middle_name": "WAHEED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NY",
            "license": "202564-1",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME118440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013080800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01833614",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.