Individual provider Active NPI

Usman Khalid Bajwa, MD

  • Internal Medicine Physician
  • Ocala, FL
National Provider Identifier
1356839419
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME148963 Issued in FL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210602000464 FL Practitioner - Internal Medicine 2769881333 Reassigns benefits to 2 organizations

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
Aegis Medical Group LLCGroup PAC ID 8022324862, 20 clinicians

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

OrganizationSpecialtyStatusNew patients
Aegis Medical Group LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Weirsdale Family Health Center Inc Internal Medicine CurrentSince Oct 1, 2021 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBDHAD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.