Organization Active NPI

Jas Medical Management LLC

  • Family Medicine Physician
  • Miramar, FL
National Provider Identifier
1386733822
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JAS MEDICAL MANAGEMENT LLC
Practice address
6151 Miramar Pkwy
Suite 104
Miramar, FL 33023-3970
Phone
(954) 965-6001
Fax
(954) 965-6009
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Sultan S Ahmed, M.D.NPI 1730129222
Title
President
Phone
(954) 965-6001

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

6151 Miramar Pkwy
Suite 104
Miramar, FL 33023-3970

Mailing address

1981 SW 133Rd Ave
Miramar, FL 33027-3457
Phone (954) 965-6001

Other identifiers 1

IdentifierTypeStateIssuer
32644OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041227000156 FL Part B Supplier - Clinic/Group Practice 0648238592 Receives reassigned benefits from 1 practitioner
Practice locations: Miramar, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2003264Jas Medical Management LLC6151 Miramar Pkwy Ste 104, Miramar, FL 33023Certificate of waiverFeb 3, 2028

National Provider Directory

National Provider Directory

Locations

12340 NE 6th Ct
North Miami, FL 33161
Phone (305) 981-4000

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1386733822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 SW 133RD AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273457",
            "telephone_number": "954-965-6001",
            "fax_number": "954-965-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 MIRAMAR PKWY",
            "address_2": "SUITE 104",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233970",
            "telephone_number": "954-965-6001",
            "fax_number": "954-965-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAS MEDICAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-965-6001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "32644",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.