NPIMap

Individual provider Active NPI

Mohammad Mahdi Eskandari, MD

  • Family Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1184891061
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME100524 Issued in FL
Practice address
1180 Spring Centre South Blvd
Suite #114
Altamonte Springs, FL 32714-1974
Phone
(407) 389-1200
NPI assigned
May 10, 2008
Last updated
Aug 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME100524 FL Primary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X ME100524 FL
General Practice Physician 208D00000X ME100524 FL

Addresses

Primary practice location

1180 Spring Centre South Blvd
Suite #114
Altamonte Springs, FL 32714-1974

Mailing address

1180 Spring Centre South Blvd
Suite #114
Altamonte Springs, FL 32714-1974

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Center Inc Past Accepting new patients
Central Florida Wound & Skin Consultants,Inc. PastSince Dec 1, 1999 Accepting new patients
Lymphedema Clinic of Orlando, Inc General Practice PastSince Aug 3, 2011 Accepting new patients
Meam Visions LLC General Practice PastSince Mar 30, 2011 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1210377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1184891061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SPRING CENTRE SOUTH BLVD",
            "address_2": "SUITE #114",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SPRING CENTRE SOUTH BLVD",
            "address_2": "SUITE #114",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141974",
            "telephone_number": "407-389-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKANDARI",
        "first_name": "MOHAMMAD",
        "middle_name": "MAHDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-10",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME100524",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "FL",
            "license": "ME100524",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME100524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 30, 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.

Verify at the official NPI Registry.