Active NPI
Abdimomun Iuldashev, M.D.
- Hospitalist Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME128107
- Practice address
- 1350 Hickory St
Melbourne, FL 32901-3224 - Phone
- (321) 434-1771
- NPI assigned
- Apr 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME128107 | FL | |
| Hospitalist Physician | 208M00000X | ME128107 | FL | Primary |
Addresses
Primary practice location
1350 Hickory St
Melbourne, FL 32901-3224
Mailing address
86 W Underwood St
MP 80
Orlando, FL 32806-2008
Phone (888) 912-3648
Other practice location 1
86 W Underwood St
MP 80
Orlando, FL 32806-2008
Phone (888) 912-3648
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017429000 | Medicaid | FL | |
| MU842 | Other | FL | MEDICARE HF |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 355-4400
Hospital & facility affiliations
- Broward Health North
- Broward Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Current | Accepting new patients | |
| M & H Med Housecalls, LLC | Internal Medicine | Current | Accepting new patients |
| Lee Memorial Health System | Internal Medicine | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Cogent Healthcare of Pensacola LLC | Internal Medicine | Current | Accepting new patients |
| Florida Hospital Medicine Services, LLC. | Hospitalist | Current | Accepting new patients |
| Cogent Healthcare of Pensacola LLC | Internal Medicine | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Eastside Hospitalists Inc | Hospitalist | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Mississippi-TCG, Inc. | Internal Medicine | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| Cogent Healthcare of Pensacola LLC | Internal Medicine | Current | Accepting new patients |
| Cape Coral Hospitalists Inc | Internal Medicine | Current | Accepting new patients |
| Hospital Physician Services of Florida PA | Internal Medicine | Current | Accepting new patients |
Locations
601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200
305 E Oak St
Apopka, FL 32703
Phone (407) 880-2265
9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000
17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060
1407 Viscaya Pkwy
Ste 2
Cape Coral, FL 33990
Phone (239) 772-0111
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
701 Lake Port Blvd
Leesburg, FL 34748
Phone (352) 728-3366
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
86 Underwood St
#80
Orlando, FL 32806
Phone (321) 843-5270
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
86 Underwood St
Orlando, FL 32806
Phone (321) 841-5142
611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
Organizations & group practices 14
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.
-
- Hospitalist Physician
- Boca Raton, FL
- NPI 1508873183
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1336209790
-
- Internal Medicine Physician
- Jacksonville Beach, FL
- NPI 1346287182
-
- Hospitalist Physician
- Hollywood, FL
- NPI 1285676957
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
Internal Medicine
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1427548304
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
FL
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1386122877
FL
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1427631696
-
- Internal Medicine Physician
- Naples, FL
- NPI 1932782042
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
-
- General Acute Care Hospital
- Pompano Beach, FL
- NPI 1376571323
-
- Emergency Care Clinic/Center
- Lighthouse Point, FL
- NPI 1720936792
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1609210665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 W UNDERWOOD ST",
"address_2": "MP 80",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062008",
"telephone_number": "888-912-3648",
"fax_number": "321-841-4085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HICKORY ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013224",
"telephone_number": "321-434-1771"
}
],
"practiceLocations": [
{
"address_1": "86 W Underwood St",
"address_2": "MP 80",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062008",
"country_code": "US",
"telephone_number": "888-912-3648",
"fax_number": "321-841-4085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IULDASHEV",
"first_name": "ABDIMOMUN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-22",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME128107",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME128107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017429000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "MU842",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.