NPIMap

Individual provider Active NPI

Wasim Ahmar, MD

  • Interventional Cardiology Physician
  • Longwood, FL
National Provider Identifier
1528061330
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME78066 Issued in FL
Practice address
450 W State Road 434
Ste 301
Longwood, FL 32750-5187
Phone
(407) 767-8200
Fax
(407) 339-1200
NPI assigned
May 24, 2005
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME78066 FL Primary

Addresses

Primary practice location

450 W State Road 434
Ste 301
Longwood, FL 32750-5187

Mailing address

450 W State Road 434
Ste 301
Longwood, FL 32750-5187
Phone (407) 767-8200

Other identifiers 1

IdentifierTypeStateIssuer
261225900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081010000479 FL Practitioner - Cardiovascular Disease (Cardiology) 2668360231 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine LLCGroup PAC ID 5698131886, 4 clinicians
Longwood Medical Group PAGroup PAC ID 0941198519, 2 clinicians

Practice addresses (Care Compare)

450 W State Rd
434 Suite 1010
Longwood, FL 32750-5187
Phone (407) 786-0004

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.13 of 100Reported as group
Quality
95.91
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal73
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Center of Longwood LLC CurrentSince Mar 21, 2018 Accepting new patients
Internal Medicine LLC Interventional Cardiology CurrentSince Jan 1, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 30, 2019 Accepting new patients
Longwood Medical Group PA CurrentSince Apr 30, 2001 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 30, 2019 Accepting new patients
Central Florida Cardiology Interpretations LLC CurrentSince Mar 8, 2011 Accepting new patients
Orlando Diagnostic Center Inc CurrentSince Aug 1, 2008 Accepting new patients
Leaf Medical Group PastSince Oct 1, 2022 Accepting new patients

Locations

450 W State Road 434
Ste 1010
Longwood, FL 32750
Phone (407) 212-3000

450 W State Road 434
Ste 301
Longwood, FL 32750

450 W State Road 434
Ste 3010
Longwood, FL 32750
Phone (321) 206-8100

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1133 Saxon Blvd
Orange City, FL 32763
Phone (386) 228-9700

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

200 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 646-7000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1577/brand/1/csg/1/fhir/r4
  • Direct secure messaging: wasim.ahmar.1@15649.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1528061330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W STATE ROAD 434",
            "address_2": "STE 301",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505187",
            "telephone_number": "407-767-8200",
            "fax_number": "407-339-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W STATE ROAD 434",
            "address_2": "STE 301",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505187",
            "telephone_number": "407-767-8200",
            "fax_number": "407-339-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAR",
        "first_name": "WASIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME78066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261225900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.