Ahmad G Ksaibati, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME44509 Issued in FL

Practice address

5504 Gateway Blvd
Wesley Chapel, FL 33543-4270

Phone

(813) 948-5400

Fax

(813) 907-2073

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  NPD
• Emergency Services of Zephyrhills PA

  • Emergency Medicine Physician
  • Dade City, FL
  • NPI 1265631097
  NPD (past)
• Florida Em-I Medical Services PA

  • Emergency Medicine Physician
  • Largo, FL
  • NPI 1831149848
  NPD (past)
• Florida Hospital Zephyrhills Inc

  dba AdventHealth Zephyrhills

  • General Acute Care Hospital
  • Zephyrhills, FL
  • NPI 1346354677
  NPD (past)
• Florida Hospital Zephyrhills Inc

  dba AdventHealth Medical Group

  • Multi-Specialty Clinic/Center
  • Zephyrhills, FL
  • NPI 1639325046
  NPD (past)
• KWRK Investments LLC

  dba Bay Area Urgent Care

  • Emergency Medicine Physician
  • Wesley Chapel, FL
  • NPI 1871541326
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1609824259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335090048",
            "telephone_number": "813-685-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 GATEWAY BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434270",
            "telephone_number": "813-948-5400",
            "fax_number": "813-907-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KSAIBATI",
        "first_name": "AHMAD",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME44509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036020100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Davis-John, LLC
• Kristine Keene-Heth, Aprn-C LLC
• KRM Quality Care LLC
• Miselene Kruer, MS
• Santiago Krumm Cabezas
• Kshemal P Mankodi MD PA (Chapel Primary Care)
• Susana L. Kugeares, PH.D.
• Susana George Kulangara, DMD, MS
• Sonal Kumar, MD
• Marcie J Kumlien, PA-C

• Emergency Medicine Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.