Active NPI
Ayesha R Ahmar, MD
- Family Medicine Physician
- Lake Mary, FL
National Provider Identifier
1215955000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME79324
- Practice address
- 1349 S International Pkwy
Suite 1411
Lake Mary, FL 32746 - Phone
- (407) 333-3360
- Fax
- (407) 333-2920
- NPI assigned
- Jul 18, 2006
- Last updated
- Jul 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME79324 | FL | Primary |
Addresses
Primary practice location
1349 S International Pkwy
Suite 1411
Lake Mary, FL 32746
Mailing address
PO Box 848370
Boston, MA 02284-8370
Phone (407) 333-3360
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262674800 | Medicaid | FL | |
| 593745750 | Other | TAX ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
1349 S International Pkwy
Suite 1411
Lake Mary, FL 32746-1698
Phone (407) 333-3360
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME79324 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ayesha Ahmar MD and Associates | Family Medicine | Current | Accepting new patients |
| Family Practice of Central FL, P.a. | Family Medicine | Past | Accepting new patients |
Locations
1349 S International Pkwy
Ste 1411
Lake Mary, FL 32746
Phone (407) 333-3360
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- ayesha.ahmar.1@18585.direct.athenahealth.com
- https://api.platform.athenahealth.com/fhir/r4/
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lake Mary, FL
- NPI 1881179828
-
- Family Medicine Physician
- Lake Mary, FL
- NPI 1346440617
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba AdventHealth Fish Memorial
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
dba Adventhealth Medical Group
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1215955000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848370",
"city": "BOSTON",
"state": "MA",
"postal_code": "022848370",
"telephone_number": "407-333-3360",
"fax_number": "407-333-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1349 S INTERNATIONAL PKWY",
"address_2": "SUITE 1411",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "32746",
"telephone_number": "407-333-3360",
"fax_number": "407-333-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAR",
"first_name": "AYESHA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME79324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262674800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "593745750",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
- Adventist Health System/Sunbelt, Inc. (AdventHealth Centra Care Kids Lake Mary)
- Affordable Dentures & Implants - Lake Mary II, P.a.
- Affordable Dentures & Implants - Lake Mary, P.a.
- Jacob K Agamasu, MD
- Sumita Aggarwal, MD
- Abdul Quyyum Ahmed, MD
- Rafat Ahmed, ARNP
- Kelly Ann Aicher, BCBA
- Kayla M Aird, RBT
- Courtney Aker, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.