Ahmad Shokoohi

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33049 Issued in FL

Practice address

7480 Aloma Ave
Winter Park, FL 32792-9102

Phone

(407) 657-7799

Fax

(407) 657-7928

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Aloma Walk in Clinic

  • Adult Medicine Physician
  • Winter Park, FL
  • NPI 1033500103
  NPD (past) Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1295751329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929102",
            "telephone_number": "407-657-7799",
            "fax_number": "407-657-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929102",
            "telephone_number": "407-657-7799",
            "fax_number": "407-657-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKOOHI",
        "first_name": "AHMAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "33049",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "33049",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "33049",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE",
            "identifier": "FS0901339",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037761900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Sherman
• Sherrie a. Cameron LCSW, LLC
• Jillian Nichole Shilling, LMT
• Adrianna Shingleton
• Kristine Kenney Shircliff, RMHCI
• Sonalee K. Shroff, M.D.
• Preksha Shukla, MD
• Shwetanshu M Shukla, M.D.
• Anna Sibilrud-Willis
• Barton Glen Sickinger, DO FACC

• Family Medicine Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.