Individual provider Active NPI

Joseph Itodo Ameh, M.D.

  • Pulmonary Disease Physician
  • Kissimmee, FL
National Provider Identifier
1225144579
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME97330 Issued in FL
Practice address
1121 N Central Ave
Suite B
Kissimmee, FL 34741-4405
Phone
(407) 933-1221
Fax
(407) 933-0747
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME97330 FL Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X ME97330 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME97330 FL

Addresses

Primary practice location

1121 N Central Ave
Suite B
Kissimmee, FL 34741-4405

Mailing address

1121 N Central Ave
Suite B
Kissimmee, FL 34741-4405
Phone (407) 933-1221

Other identifiers 2

IdentifierTypeStateIssuer
ME97330OtherFLMEDICAL LICENSE
23597OtherALMEDICAL LICENSE

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
I20071218000129 FL Practitioner - Pulmonary Disease 4880654292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Disease Specialists, PAGroup PAC ID 4789648072, 6 clinicians

Practice addresses (Care Compare)

110 Park Place Blvd
Davenport, FL 33837-6857
Phone (863) 419-0104

1121 N Central Ave
Kissimmee, FL 34741-4405
Phone (407) 933-1221

290 Park Place Blvd
Kissimmee, FL 34741-2344
Phone (407) 933-1221

Hospital & facility affiliations

  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137
  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME97330FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Disease Specialists, PA Pulmonary Disease CurrentSince Oct 16, 2006 Accepting new patients

Locations

110 Park Place Blvd
Davenport, FL 33837
Phone (863) 419-0104

290 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 933-1221

1121 N Central Ave
Ste B
Kissimmee, FL 34741
Phone (407) 933-1221

1121 N Central Ave
Kissimmee, FL 34741
Phone (407) 933-1221

2250 Bedford Rd
Orlando, FL 32803
Phone (407) 303-1766

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: joseph.ameh.p1@direct.pds.nextgenshare.com

Organizations & group practices 1

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 6

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1225144579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N CENTRAL AVE",
            "address_2": "SUITE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414405",
            "telephone_number": "407-933-1221",
            "fax_number": "407-933-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N CENTRAL AVE",
            "address_2": "SUITE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414405",
            "telephone_number": "407-933-1221",
            "fax_number": "407-933-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEH",
        "first_name": "JOSEPH",
        "middle_name": "ITODO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME97330",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME97330",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME97330",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME97330",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "23597",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.