Individual provider Active NPI

Maha F Ansara, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lake Mary, FL
National Provider Identifier
1295754356
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0075530 Issued in FL
Practice address
752 Stirling Center PL
Suite 1008
Lake Mary, FL 32746-4889
Phone
(407) 333-1212
Fax
(407) 333-1213
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0075530 FL Primary

Addresses

Primary practice location

752 Stirling Center PL
Suite 1008
Lake Mary, FL 32746-4889

Mailing address

752 Stirling Center Place
Suite 1008
Lake Mary, FL 32746-4889
Phone (407) 333-1212

Other identifiers 4

IdentifierTypeStateIssuer
K5656OtherFLGROUP MEDICARE ID NUMBER
207RE0101XOtherFLTAXONOMY
0075530OtherFLMEDICAL LICENSE
253960800MedicaidFL

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
I20040630000710 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 9537145610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

752 Stirling Ctr PL
Suite 1008
Lake Mary, FL 32746-4889
Phone (407) 333-1212

752 Stirling Ctr Place
Suite 1008
Lake Mary, FL 32746-4889

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as individual
Quality
84.8
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0075530FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Carlos E Coelho M D P a Endocrinology, Diabetes & Metabolism CurrentSince Sep 23, 2025 Accepting new patients
Regency Endocrinology, Diabetes and Metabolism, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Apr 20, 1998 Accepting new patients
Glutality Provider Group, P.a. Past Accepting new patients

Locations

752 Stirling Center Pl
Ste 1008
Lake Mary, FL 32746
Phone (407) 333-1212

4106 W Lake Mary Blvd
Ste 325
Lake Mary, FL 32746
Phone (386) 256-1969

752 Stirling Center Pl
Lake Mary, FL 32746
Phone (407) 333-1212

21097 NE 27th Ct
Ste 510
Miami, FL 33180
Phone (305) 932-6068

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCFDDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AAEBDA

Organizations & group practices 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1295754356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 STIRLING CENTER PLACE",
            "address_2": "SUITE 1008",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464889",
            "telephone_number": "407-333-1212",
            "fax_number": "407-333-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 STIRLING CENTER PL",
            "address_2": "SUITE 1008",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464889",
            "telephone_number": "407-333-1212",
            "fax_number": "407-333-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARA",
        "first_name": "MAHA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "0075530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE ID NUMBER",
            "identifier": "K5656",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207RE0101X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0075530",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253960800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.