Organization Active NPI

Kidney & Hypertension Specialists of Central Florida

  • Nephrology Physician
  • Clermont, FL
National Provider Identifier
1215912167
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY & HYPERTENSION SPECIALISTS OF CENTRAL FLORIDA
Practice address
306 Mohawk Rd
Clermont, FL 34715-7434
Phone
(352) 394-1361
Fax
(352) 394-1362
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Dr. Adnan Ahmed, M..D.NPI 1811972789
Title
Owner
Phone
(352) 394-7027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

306 Mohawk Rd
Clermont, FL 34715-7434

Mailing address

PO Box 120836
Clermont, FL 34712-0836
Phone (352) 394-7027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061130000238 FL Part B Supplier - Clinic/Group Practice 6709873268 Receives reassigned benefits from 4 practitioners
Practice locations: Clermont, FL; Ocoee, FL

National Provider Directory

National Provider Directory

Locations

306 Mohawk Rd
Minneola, FL 34715
Phone (352) 394-1361

10000 W Colonial Dr
Ste 483
Ocoee, FL 34761
Phone (407) 296-1929

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1215912167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120836",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347120836",
            "telephone_number": "352-394-7027",
            "fax_number": "352-394-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MOHAWK RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347157434",
            "telephone_number": "352-394-1361",
            "fax_number": "352-394-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY & HYPERTENSION SPECIALISTS OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-394-7027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M..D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.