Central Florida Medical Associates, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME75141 Issued in FL

Legal business name

CENTRAL FLORIDA MEDICAL ASSOCIATES, INC

Practice address

2555 S Volusia Ave
Orange City, FL 32763-9135

Phone

(386) 774-0401

Fax

(386) 774-5783

NPI assigned

Jan 19, 2007

Last updated

Jan 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ilene Ballentine

Title

Office Manager

Phone

(386) 774-0401

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shazia Ahmed, M.D.

  • Family Medicine Physician
  • Orange City, FL
  • NPI 1053547349
  Medicare reassignment Care Compare group NPD
• Syed Bilal Ahmed, M.D.

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1013969898
  Medicare reassignment Care Compare group NPD
• Andrea A McIntosh, PA

  • Medical Physician Assistant
  • Orange City, FL
  • NPI 1740382472
  Medicare reassignment Care Compare group
• Joy D Huntley, ARNP

  • Family Nurse Practitioner
  • Lake Mary, FL
  • NPI 1972947216
  Medicare reassignment NPD
• Guylaine Legault, ARNP

  • Family Nurse Practitioner
  • Orange City, FL
  • NPI 1164584140
  Medicare reassignment NPD
• Radhika Bawa, MD

  • Internal Medicine Physician
  • East Orange, NJ
  • NPI 1538555115

  FL

  Medicare reassignment NPD
• Ashley Fender, APRN

  • Nurse Practitioner
  • Orange City, FL
  • NPI 1437874120
  NPD
• Shakil Ahmed, MD

  • Internal Medicine Physician
  • Longwood, FL
  • NPI 1710935705
  NPD (past)
• Jauvid Behram Ayadi, M.D.

  • Hospitalist Physician
  • Orlando, FL
  • NPI 1619041332

  Internal Medicine

  NPD (past)
• Thejaswi Bandikatla

  • Internal Medicine Physician
  • Maitland, FL
  • NPI 1346595139
  NPD (past)
• Marianne Rita Falasco, ARNP-BC,

  • Nurse Practitioner
  • Orange City, FL
  • NPI 1881730505
  NPD (past)
• Kelly A Lane, ARNP

  • Family Nurse Practitioner
  • Lake Mary, FL
  • NPI 1962439737
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1528111085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639135",
            "telephone_number": "386-774-0401",
            "fax_number": "386-774-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639135",
            "telephone_number": "386-774-0401",
            "fax_number": "386-774-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "BALLENTINE",
        "authorized_official_first_name": "ILENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-774-0401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K2371",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Florida Bone and Joint Institute, PLLC (Central Florida Bone and Joint Institute)
• Central Florida Cardiovascular Consultants
• Central Florida Gastroenterology P a
• Central Florida Health Care Services Corp
• Central Florida Heart Associates PA
• Central Florida Medical Imaging PA
• Central Florida Pulmonary Consultants
• Central Florida Radiology LLC
• Central Florida Rheumatology Consultants LLC
• Central Florida Therapy Solutions

• Internal Medicine Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.