Individual provider Active NPI

Ajmal A Baig, MD

  • Surgery Physician
  • Brooksville, FL
National Provider Identifier
1629142302
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME93140 Issued in FL
Practice address
17222 Hospital Blvd Ste 242
Brooksville, FL 34601-8925
Phone
(352) 544-6145
Fax
(352) 688-9189
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME93140 FL Primary

Addresses

Primary practice location

17222 Hospital Blvd Ste 242
Brooksville, FL 34601-8925

Mailing address

17222 Hospital Blvd Ste 242
Brooksville, FL 34601-8925
Phone (352) 544-6145

Other practice location 1

601 E Dixie Ave
Suite 101
Leesburg, FL 34748-5953
Phone (352) 323-1160

Other identifiers 2

IdentifierTypeStateIssuer
113869400MedicaidFL
O6196OtherFLMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajmal.baig.1@4692.direct.athenahealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000779 FL Practitioner - General Surgery 8224063326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

17222 Hospital Blvd
Suite 242
Brooksville, FL 34601-8925
Phone (352) 544-6145

Hospital & facility affiliations

  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc CurrentSince Dec 1, 2023 Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc Surgery Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Dec 1, 2023 Accepting new patients
Laparoscopic & Laser Surgery Center Past Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients

Locations

17222 Hospital Blvd
Ste 242
Brooksville, FL 34601
Phone (352) 544-6145

2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: abaig300987@direct.tgh.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1629142302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD STE 242",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-544-6145",
            "fax_number": "352-688-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD STE 242",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-544-6145",
            "fax_number": "352-688-9189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Dixie Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485953",
            "country_code": "US",
            "telephone_number": "352-323-1160",
            "fax_number": "352-728-7811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIG",
        "first_name": "AJMAL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME93140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113869400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "O6196",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajmal.baig.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "17222 Hospital Blvd Ste 242",
            "city": "Brooksville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346018925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.