Active NPI
Usman Khalid Bajwa, MD
- Internal Medicine Physician
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME148963
- Practice address
- 1630 SE 18TH St Ste 400
Ocala, FL 34471-5441 - Phone
- (352) 758-2597
- NPI assigned
- Apr 24, 2018
- Last updated
- May 20, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | ME148963 | FL | Primary |
Addresses
Primary practice location
1630 SE 18TH St Ste 400
Ocala, FL 34471-5441
Mailing address
1630 SE 18TH St Ste 400
Ocala, FL 34471-5441
Phone (830) 832-5222
Other practice location 1
1004 Pemble Rd
Leesburg, FL 34748-9232
Phone (352) 530-6425
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1630 SE 18TH St
Suite 400
Ocala, FL 34471-5441
Phone (352) 758-2597
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Weirsdale Family Health Center Inc | Internal Medicine | Current | Accepting new patients |
Locations
410 Fern Dr
Leesburg, FL 34748
Phone (352) 218-8200
18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755
1630 SE 18th St
Ste 400
Ocala, FL 34471
Phone (352) 351-3093
16400 S Highway 25
Weirsdale, FL 32195
Phone (352) 821-9797
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBDHAD
- ubajwa562471@direct.shands.ufl.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Leesburg, FL
- NPI 1356769384
-
- Rural Health Clinic/Center
- Weirsdale, FL
- NPI 1669548392
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1356839419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 SE 18TH ST STE 400",
"city": "OCALA",
"state": "FL",
"postal_code": "344715441",
"telephone_number": "830-832-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 SE 18TH ST STE 400",
"city": "OCALA",
"state": "FL",
"postal_code": "344715441",
"telephone_number": "352-758-2597"
}
],
"practiceLocations": [
{
"address_1": "1004 Pemble Rd",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347489232",
"country_code": "US",
"telephone_number": "352-530-6425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAJWA",
"first_name": "USMAN",
"middle_name": "KHALID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-24",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME148963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.