Individual provider Active NPI

Waleed A Elyaman, MD

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1376733378
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME106876 Issued in FL
Practice address
1720 SE 16TH Ave Ste 304
Ocala, FL 34471-4620
Phone
(352) 857-8417
Fax
(352) 877-2083
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME106876 FL
Family Medicine Physician 207Q00000X ME106876 FL Primary

Addresses

Primary practice location

1720 SE 16TH Ave Ste 304
Ocala, FL 34471-4620

Mailing address

1720 SE 16TH Ave Ste 304
Ocala, FL 34471-4620
Phone (352) 857-8417

Other practice location 1

6041 SW 54th St Ste 200
Ocala, FL 34474-5521
Phone (352) 857-8417

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
I20101029000982 FL Practitioner - Family PracticePractitioner - Hospice/Palliative Care 5799979100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Elyaman Medical Services PAGroup PAC ID 4284923467, 19 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

1720 SE 16TH Ave
Suite 304
Ocala, FL 34471-4620
Phone (352) 857-8417

6041 SW 54TH St
Suite 200
Ocala, FL 34474-5521
Phone (352) 857-8417

Hospital & facility affiliations

  • Pinnacle Home Care of the Villages Inc Home health agency, The Villages, FL, CCN 109702
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elyaman Medical Services PA Family Medicine CurrentSince Jul 20, 2015 Accepting new patients
Absolute Health Internal Medicine and Pediatrics CurrentSince Aug 22, 2010 Accepting new patients
Central Florida Personal Injury Clinic Interventional Pain Medicine CurrentSince Apr 9, 2023 Accepting new patients
Family Practice Associates, PA Family Medicine PastSince Oct 17, 2022 Accepting new patients

Locations

6041 SW 54th St
Ste 200
Ocala, FL 34474
Phone (352) 857-8417

1720 SE 16th Ave
Ste 304
Ocala, FL 34471
Phone (352) 559-0354

1720 SE 16th Ave
Ste 304C
Ocala, FL 34471
Phone (352) 857-8417

7350 SW 60th Ave
Ste 2
Ocala, FL 34476
Phone (352) 854-5530

1400 N US Highway 441
Ste 904
The Villages, FL 32159
Phone (352) 259-3435

Interoperability endpoints

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

Organizations & group practices 4

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 7

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1376733378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SE 16TH AVE STE 304",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714620",
            "telephone_number": "352-857-8417",
            "fax_number": "352-877-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SE 16TH AVE STE 304",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714620",
            "telephone_number": "352-857-8417",
            "fax_number": "352-877-2083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6041 SW 54th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344745521",
            "country_code": "US",
            "telephone_number": "352-857-8417",
            "fax_number": "352-877-2083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELYAMAN",
        "first_name": "WALEED",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME106876",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME106876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.