Osman Zaki Ahmad, M.D.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

134079 Issued in FL

Practice address

517 Health Blvd
Daytona Beach, FL 32114-1493

Phone

(386) 256-4031

Fax

(386) 256-7151

NPI assigned

Apr 16, 2012

Last updated

Dec 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Children's Gastroenterology of Central Florida

  • Clinic/Center
  • Altamonte Springs, FL
  • NPI 1891260873
  NPD Authorized official
• Prime Health of Central Florida

  dba Advanced Pediatric Gastroenterology Specialists

  • Pediatric Gastroenterology Physician
  • Daytona Beach, FL
  • NPI 1902465610

  Single Specialty

  NPD (past) Authorized official
• University of Alabama Health Services Foundation, PC

  dba UAHSF Department of Pediatrics

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1356377576

  Single Specialty

  NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723

  Single Specialty

  NPD
• Alexandra Crossman MD PA

  • Infectious Disease Physician
  • Daytona Beach, FL
  • NPI 1023206745

  Single Specialty

  NPD (past)
• Uahsf PC Department of Peds Hemoc

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1255598934
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1467719492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016834",
            "telephone_number": "321-274-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 HEALTH BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141493",
            "telephone_number": "386-256-4031",
            "fax_number": "386-256-7151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7758 Wallace Rd Ste Vi",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197219",
            "country_code": "US",
            "telephone_number": "386-256-4031",
            "fax_number": "386-256-7151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 Maitland Ave",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327016834",
            "country_code": "US",
            "telephone_number": "386-256-4031",
            "fax_number": "386-256-7151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "OSMAN",
        "middle_name": "ZAKI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "134079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024786900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agape Services, Inc
• Helen Adedamola Agboola
• John Edward Agles, M.D.
• Alana Kathleen Agnone, R.D
• Mhai Nang Agraba, PHARMD
• Brenda Fay Ahmed, LPN
• Ejaz Ahmed, MD
• Shahabuddin Ahmed, D.O
• Ellyett Ahr, FNP-BC
• Benita Aifuwa

• Pediatric Gastroenterology Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Pediatric Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.