Organization Active NPI

Asha Medical Clinic

  • Internal Medicine Physician
  • Lauderhill, FL
National Provider Identifier
1306070974
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ASHA MEDICAL CLINIC
Practice address
5440 N University Dr
Lauderhill, FL 33351-5005
Phone
(954) 747-9897
Fax
(954) 747-9879
NPI assigned
May 11, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Mini Thomas, MDNPI 1184684656
Title
President
Phone
(954) 747-9897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20091119000390 FL Part B Supplier - Clinic/Group Practice 9537207113 Receives reassigned benefits from 1 practitioner
Practice locations: Tamarac, FL

National Provider Directory

Locations

5440 N University Dr
Lauderhill, FL 33351
Phone (954) 282-8253

7710 NW 71st Ct
Ste 302
Tamarac, FL 33321
Phone (954) 722-2400

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

5440 N University Dr
Lauderhill, FL 33351-5005

Mailing address

5440 N University Dr
Lauderhill, FL 33351-5005
Phone (954) 747-9897

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2013.

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1306070974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515005",
            "telephone_number": "954-747-9897",
            "fax_number": "954-747-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515005",
            "telephone_number": "954-747-9897",
            "fax_number": "954-747-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-747-9897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.