Organization Active NPI

Doctor for Adults, Inc

  • Internal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1477525319
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME93396 Issued in FL
Legal business name
DOCTOR FOR ADULTS, INC
Practice address
505 W Oak St
Suite 202
Kissimmee, FL 34741-4986
Phone
(407) 846-6331
Fax
(407) 846-0137
NPI assigned
Feb 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Tahsina Y Atiquzzaman, MDNPI 1730167263
Title
Owner/Provider
Phone
(407) 846-6331

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME93396 FL Primary

Addresses

Primary practice location

505 W Oak St
Suite 202
Kissimmee, FL 34741-4986

Mailing address

505 W Oak St
Suite 202
Kissimmee, FL 34741-4986
Phone (407) 846-6331

Other identifiers 1

IdentifierTypeStateIssuer
274425200MedicaidFL

Other names 1

  • Tahsina Y. Atiquzzaman, M.D. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060515000007 FL Part B Supplier - Clinic/Group Practice 5799796272 Receives reassigned benefits from 2 practitioners
Practice locations: Kissimmee, 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
10D1058617Doctor for Adults Inc505 W Oak St Suite 202, Kissimmee, FL 34741Certificate of waiverSep 10, 2026

National Provider Directory

National Provider Directory

Locations

505 W Oak St
Ste 202
Kissimmee, FL 34741
Phone (407) 846-6331

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": "1139097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1477525319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W OAK ST",
            "address_2": "SUITE 202",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414986",
            "telephone_number": "407-846-6331",
            "fax_number": "407-846-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W OAK ST",
            "address_2": "SUITE 202",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414986",
            "telephone_number": "407-846-6331",
            "fax_number": "407-846-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR FOR ADULTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-05",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "ATIQUZZAMAN",
        "authorized_official_first_name": "TAHSINA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "407-846-6331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274425200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tahsina Y. Atiquzzaman, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.