Individual provider Active NPI

Ahmad Alkilani, M.D.

  • Pediatrics Physician
  • Panama City, FL
National Provider Identifier
1245500438
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME165501 Issued in FL
Practice address
200 Forest Park Cir
Panama City, FL 32405-4915
Phone
(850) 257-5524
Fax
(850) 257-5638
NPI assigned
Jan 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L.3512R AL
Pediatrics Physician 208000000X ME165501 FL Primary

Addresses

Primary practice location

200 Forest Park Cir
Panama City, FL 32405-4915

Mailing address

PO Box 578
Lynn Haven, FL 32444-0578
Phone (850) 257-5524

Other practice location 1

870 Mack Bayou Rd
Santa Rosa Beach, FL 32459-7150
Phone (850) 249-3500

Other practice location 2

10800 Panama City Beach Pkwy
Panama City Beach, FL 32407-2533
Phone (850) 249-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L.3512RALMDPediatrics Physician
ME165501FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Pediatrics PC LLC Pediatrics CurrentSince Feb 25, 2024 Accepting new patients

Locations

200 Forest Park Cir
Panama City, FL 32405
Phone (850) 257-5524

2515 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 257-5524

238 Forest Park Cir
Panama City, FL 32405
Phone (850) 640-4341

10800 Panama City Beach Pkwy
Ste 100
Panama City Beach, FL 32407
Phone (850) 249-3500

10800 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 249-3500

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.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1245500438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324440578",
            "telephone_number": "850-257-5524",
            "fax_number": "850-257-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FOREST PARK CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054915",
            "telephone_number": "850-257-5524",
            "fax_number": "850-257-5638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 Mack Bayou Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "postal_code": "324597150",
            "country_code": "US",
            "telephone_number": "850-249-3500",
            "fax_number": "820-249-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10800 Panama City Beach Pkwy",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324072533",
            "country_code": "US",
            "telephone_number": "850-249-3500",
            "fax_number": "850-249-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALKILANI",
        "first_name": "AHMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-05",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "L.3512R",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME165501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.