Organization Active NPI

Asthma Allergy & Immunology PA

  • Allergy & Immunology Physician
  • Kissimmee, FL
National Provider Identifier
1285821124
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ASTHMA ALLERGY & IMMUNOLOGY PA
Practice address
903 W Oak St
Kissimmee, FL 34741-4941
Phone
(407) 846-4000
Fax
(407) 846-4808
NPI assigned
Sep 25, 2007
Last updated
Jan 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Dr. Imtiaz Ahmed, M.D.NPI 1922071158
Title
President
Phone
(407) 846-4000

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
Allergy & Immunology Physician 207K00000X Primary

Addresses

Primary practice location

903 W Oak St
Kissimmee, FL 34741-4941

Mailing address

903 W Oak St
Kissimmee, FL 34741-4941
Phone (407) 846-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329000518 FL Part B Supplier - Clinic/Group Practice 5698667137 Receives reassigned benefits from 6 practitioners
Practice locations: Kissimmee, FL; Poinciana, FL; Saint Cloud, FL

National Provider Directory

National Provider Directory

Locations

903 W Oak St
Kissimmee, FL 34741
Phone (407) 846-4000

3123 Innovation Dr
Saint Cloud, FL 34769
Phone (407) 846-4000

3129 Innovation Dr
Saint Cloud, FL 34769
Phone (407) 498-3076

Practitioners & affiliated clinicians

Practitioners 8

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": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1285821124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414941",
            "telephone_number": "407-846-4000",
            "fax_number": "407-846-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414941",
            "telephone_number": "407-846-4000",
            "fax_number": "407-846-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTHMA ALLERGY & IMMUNOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "IMTIAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-846-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.