Ahmad Shamsin, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME90030 Issued in FL

Practice address

731 Dunlawton Ave
Suites 101 & 102
Port Orange, FL 32127-4236

Phone

(386) 767-9585

Fax

(386) 767-9769

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Cardiovascular Disease (Cardiology)Also: Cardiac Surgery, Internal Medicine, Nuclear Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excellence Health LLCGroup PAC ID 0840534160, 49 clinicians

Excellence Health Specialist, LLCGroup PAC ID 9234660994, 3 clinicians

Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
• Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014
• Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
• Adventhealth Deland Hospital, Deland, FL, CCN 100045
• AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118

Merit-based Incentive Payment System (MIPS)

Final score

93.99 of 100Reported as group

Quality

84.82

Promoting interoperability

100

Improvement activities

40

Cost

61.81

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Atlantic Cardiology & Medical Specialists, PA

  • Medical Specialty Clinic/Center
  • Port Orange, FL
  • NPI 1346524337
  Medicare reassignment NPD Authorized official
• Excellence Health Specialist LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Daytona Beach, FL
  • NPI 1306559265

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Excellence Health, LLC

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1447741749
  Medicare reassignment Care Compare group NPD
• Florida Hospital Healthcare Partners, Inc

  • Internal Medicine Physician
  • Daytona Beach, FL
  • NPI 1780100529
  Medicare reassignment Care Compare group NPD
• Advanced Heart Group P L

  • Durable Medical Equipment & Medical Supplies
  • Ormond Beach, FL
  • NPI 1457679953
  NPD (past) Authorized official
• Advanced Heart Group PL

  • Cardiovascular Disease Physician
  • Daytona Beach, FL
  • NPI 1720247984
  NPD (past)
• Brevard Cardiology Physicians PA

  • Cardiovascular Disease Physician
  • Merritt Island, FL
  • NPI 1275560716
  NPD (past)
• Wuesthoff Brevard Cardiology Group

  • Cardiovascular Disease Physician
  • Merritt Island, FL
  • NPI 1891719399
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Health Systems Inc

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1063426823
  Care Compare affiliation
• Memorial Health Systems Inc

  • Clinical Medical Laboratory
  • Daytona Beach, FL
  • NPI 1104696178

  Hospital

  Care Compare affiliation
• Memorial Hospital Flagler Inc

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1679678486
  Care Compare affiliation
• Memorial Hospital-West Volusia Inc

  • General Acute Care Hospital
  • Deland, FL
  • NPI 1649367269
  Care Compare affiliation
• Southeast Volusia Healthcare Corporation

  • General Acute Care Hospital
  • New Smyrna Beach, FL
  • NPI 1871977942
  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  • General Acute Care Hospital
  • Orange City, FL
  • NPI 1700978558
  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1902095078

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1568436731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 DUNLAWTON AVE",
            "address_2": "SUITES 101 & 102",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274236",
            "telephone_number": "386-767-9585",
            "fax_number": "386-767-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 DUNLAWTON AVE",
            "address_2": "SUITES 101 & 102",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274236",
            "telephone_number": "386-767-9585",
            "fax_number": "386-767-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSIN",
        "first_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME90030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269974500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME90030",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam William Sergent, D.C.
• Carmen A. Serrano-Lopez, MD
• Service for Life Inc
• Services by Meyers Inc.
• Hardik Shah, MD, MPH
• Janet Shannon
• Clifford Neil Share, M.D.
• Amanda Nicole Sharp
• Abby Shaw
• Kathryn Mary Shaw, PH.D., D.C.

• Cardiovascular Disease Physician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.
• 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.