Individual provider Active NPI

Ahmed Quaye Aidoo, MD, MPH

  • Sports Medicine (Family Medicine) Physician
  • Saint Cloud, FL
National Provider Identifier
1205856705
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME96098 Issued in FL
Practice address
3501 13TH St
Saint Cloud, FL 34769-4054
Phone
(407) 744-2610
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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 36116409 IL
Family Medicine Physician 207Q00000X ME 96098 FL
Sports Medicine (Family Medicine) Physician 207QS0010X ME96098 FL Primary

Addresses

Primary practice location

3501 13TH St
Saint Cloud, FL 34769-4054

Mailing address

3501 13TH St
Saint Cloud, FL 34769-4054
Phone (407) 744-2610

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
I20090625000401 FL Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Sports Medicine 5395848345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, Sports Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wisecare of Florida, P.a.Group PAC ID 3870644222, 3 clinicians

Practice addresses (Care Compare)

3501 13TH St
Saint Cloud, FL 34769-4054
Phone (407) 891-6463

Hospital & facility affiliations

  • Mederi Caretenders Home health agency, Kissimmee, FL, CCN 107422
  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 96098FLMDFamily Medicine Physician
36116409ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wisecare of Florida, P.a. Family Medicine CurrentSince Jan 1, 2009 Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients
Lakeside Medical Group LTD PastSince May 1, 2007 Accepting new patients

Locations

3501 13th St
#192
Saint Cloud, FL 34769

3501 13th St
Saint Cloud, FL 34769
Phone (407) 233-7854

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ahmed.aidoo@affsm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDBBCA/Endpoint/EDBBCA

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.

Hospital & facility affiliations 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1205856705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694054",
            "telephone_number": "407-744-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694054",
            "telephone_number": "407-744-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIDOO",
        "first_name": "AHMED",
        "middle_name": "QUAYE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36116409",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 96098",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME96098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.