Individual provider Active NPI

Rafat Ahmed, ARNP

  • Family Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1255889556
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9331035 Issued in FL
Practice address
1540 International Pkwy Ste 2000
Lake Mary, FL 32746-5096
Phone
(321) 842-2994
Fax
(407) 767-5801
NPI assigned
Sep 14, 2016
Last updated
May 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9331035 FL
Family Nurse Practitioner 363LF0000X 9331035 FL Primary

Addresses

Primary practice location

1540 International Pkwy Ste 2000
Lake Mary, FL 32746-5096

Mailing address

1540 International Pkwy Ste 2000
Lake Mary, FL 32746-5096
Phone (407) 774-1112

Other practice location 1

555 W State Road 434
Longwood, FL 32750-5119
Phone (321) 842-2994

Other practice location 2

555 W State Road 434
Longwood, FL 32750-5119
Phone (321) 842-2994

Other identifiers 1

IdentifierTypeStateIssuer
018842500MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170105000615 FL Practitioner - Nurse Practitioner 2365723319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

555 W State Rd
Suite 434
Longwood, FL 32750-5119
Phone (407) 237-6377

601 E Altamonte Dr
Altamonte SPG, FL 32701-4802
Phone (407) 303-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9331035FLMDAdult Health Nurse Practitioner
9331035FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 23, 2018 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Sep 14, 2016 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Sep 14, 2016 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 23, 2018 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jun 1, 2020 Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

2029 Professional Center Dr
Orange Park, FL 32073
Phone (904) 264-8621

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rahmed28031@orlandohealth.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1255889556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 INTERNATIONAL PKWY STE 2000",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465096",
            "telephone_number": "407-774-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 INTERNATIONAL PKWY STE 2000",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465096",
            "telephone_number": "321-842-2994",
            "fax_number": "407-767-5801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 W State Road 434",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327505119",
            "country_code": "US",
            "telephone_number": "321-842-2994",
            "fax_number": "407-767-5801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 W State Road 434",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327505119",
            "country_code": "US",
            "telephone_number": "321-842-2994",
            "fax_number": "407-767-5801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "RAFAT",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9331035",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9331035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018842500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.