Individual provider Active NPI

Ilyas Ambeyah Hamid, AP

  • Acupuncturist
  • Fort Lauderdale, FL
National Provider Identifier
1548733637
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
3971 Issued in FL
Practice address
4952 SW 38TH Way
Fort Lauderdale, FL 33312-8239
Phone
(954) 667-5882
NPI assigned
Jan 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 3971 FL Primary

Addresses

Primary practice location

4952 SW 38TH Way
Fort Lauderdale, FL 33312-8239

Mailing address

1007 N Federal Hwy # 9018
Fort Lauderdale, FL 33304-1422
Phone (954) 667-5882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3971FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Integrative Medicine LLC Acupuncturist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1548733637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 N FEDERAL HWY # 9018",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041422",
            "telephone_number": "954-667-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4952 SW 38TH WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333128239",
            "telephone_number": "954-667-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMID",
        "first_name": "ILYAS",
        "middle_name": "AMBEYAH",
        "credential": "AP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "3971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.