Active NPI
Nasirdin Madhany, MD
- Family Medicine Physician
- Altamonte Springs, FL
National Provider Identifier
1316991516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME34410
- Practice address
- 631 Palm Springs Dr
Suite 101
Altamonte Springs, FL 32701-7854 - Phone
- (407) 331-1121
- Fax
- (407) 331-1156
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME34410 | FL | Primary |
Addresses
Primary practice location
631 Palm Springs Dr
Suite 101
Altamonte Springs, FL 32701-7854
Mailing address
631 Palm Springs Dr
Suite 101
Altamonte Springs, FL 32701-7854
Phone (407) 331-1121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62026 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME34410 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Family Medicine | Past | Accepting new patients |
| Sandlake Family Care PA | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Family Medicine Physician
- Orlando, FL
- NPI 1881882991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1316991516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 PALM SPRINGS DR",
"address_2": "SUITE 101",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327017854",
"telephone_number": "407-331-1121",
"fax_number": "407-331-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 PALM SPRINGS DR",
"address_2": "SUITE 101",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327017854",
"telephone_number": "407-331-1121",
"fax_number": "407-331-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADHANY",
"first_name": "NASIRDIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME34410",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "62026",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.