Individual provider Active NPI

Ahad Salim Jiva

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1417837980
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11042031 Issued in FL
Practice address
1040 SW 2ND Ave
Ocala, FL 34471-0926
Phone
(352) 732-3005
Fax
(352) 732-8977
NPI assigned
Sep 5, 2025
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11042031 FL Primary

Addresses

Primary practice location

1040 SW 2ND Ave
Ocala, FL 34471-0926

Mailing address

1040 SW 2ND Ave
Ocala, FL 34471-0926
Phone (352) 732-3005

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114001204 FL Practitioner - Nurse Practitioner 3870084163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1040 SW 2ND Ave
Ocala, FL 34471-0926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11042031FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Heart Center, PA CurrentSince Oct 1, 2025 Accepting new patients

Locations

1040 SW 2nd Ave
Ocala, FL 34471
Phone (352) 732-3005

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61565

Organizations & group practices 1

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": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1417837980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SW 2ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710926",
            "telephone_number": "352-732-3005",
            "fax_number": "352-732-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 SW 2ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710926",
            "telephone_number": "352-732-3005",
            "fax_number": "352-732-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIVA",
        "first_name": "AHAD",
        "middle_name": "SALIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11042031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.