Individual provider Active NPI

Ali M Ahmed-Elamin, MD

  • Anesthesiology Physician
  • Fort Pierce, FL
National Provider Identifier
1194789065
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME90350 Issued in FL
Practice address
1700 S 23Rd St
Lawnwood Reginal Medical Center
Fort Pierce, FL 34950-4803
Phone
(772) 461-4000
NPI assigned
Apr 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME90350 FL Primary

Addresses

Primary practice location

1700 S 23Rd St
Lawnwood Reginal Medical Center
Fort Pierce, FL 34950-4803

Mailing address

1613 NW 136TH Ave
Suite 200
Sunrise, FL 33323-2853
Phone (800) 296-2611

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
I20040714000206 FL Practitioner - Anesthesiology 6800875915 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

14000 Fivay Rd
Hudson, FL 34667-7103
Phone (727) 819-2929

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90350FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Jan 4, 2020 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Dec 1, 2006 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Jan 4, 2020 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Feb 28, 2021 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Dec 1, 2006 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology Current Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194789065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 NW 136TH AVE",
            "address_2": "SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232853",
            "telephone_number": "800-296-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S 23RD ST",
            "address_2": "LAWNWOOD REGINAL MEDICAL CENTER",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504803",
            "telephone_number": "772-461-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED-ELAMIN",
        "first_name": "ALI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME90350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.