Active NPI
Mohammad Afzal, MD MBA
- Pediatrics Physician
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 72542
- Practice address
- 265 Citrus Tower Blvd
Ste 102
Clermont, FL 34711-1908 - Phone
- (352) 394-3929
- Fax
- (352) 394-6446
- NPI assigned
- Jun 6, 2006
- Last updated
- Jan 22, 2025
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 72542 | FL | Primary |
| Pediatrics Physician | 208000000X | 3193271205 | UT |
Addresses
Primary practice location
265 Citrus Tower Blvd
Ste 102
Clermont, FL 34711-1908
Mailing address
265 Citrus Tower Blvd
Ste 102
Clermont, FL 34711-1908
Phone (352) 394-3929
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260332200 | Medicaid | FL | |
| 593711113 | Other | FL | TRICARE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 72542 | FL | MD | Pediatrics Physician |
| 3193271205 | UT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Pediatrics | Current | Accepting new patients | |
| Excel Pediatrics PA | Pediatrics | Current | Accepting new patients |
| Leesburg Pediatrics PA | Pediatrics | Past | Accepting new patients |
| Sumter Pediatrics PA | Pediatrics | Past | Accepting new patients |
| Excel Pediatrics | Past | Accepting new patients | |
| Sumter Pediatrics PA | Past | Accepting new patients | |
| Excel Pediatrics | Pediatrics | Past | Accepting new patients |
| Tavares Pediatrics Inc | Past | Accepting new patients | |
| Excel Pediatrics PA | Past | Accepting new patients | |
| Excel Pediatrics and Family Care | Past | Accepting new patients | |
| Professional Pediatrics | Past | Accepting new patients |
Locations
1050 US Highway 27
Ste 5
Clermont, FL 34714
Phone (352) 404-8944
265 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 394-3929
265 Citrus Tower Blvd
Ste 102
Clermont, FL 34711
Phone (352) 394-3929
711 S Highway 27
Ste E
Clermont, FL 34711
Phone (352) 243-9333
Interoperability endpoints
- https://api.platform.athenahealth.com/15724/brand/1/csg/1/fhir/r4
Ownership & related parties
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Excel Pediatrics | Rural health clinic | 5% Or Greater Direct Ownership Interest Corporate Director W-2 Managing Employee |
May 1, 2001 Mar 2, 2005 May 1, 2001 |
| Tavares Pediatrics Inc | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%) W-2 Managing Employee |
Sep 1, 2011 Sep 1, 2011 Sep 1, 2011 |
| Professional Pediatrics | Rural health clinic | 5% Or Greater Direct Ownership Interest | Sep 1, 2011 |
| Leesburg Pediatrics PA | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Corporate Director (100%) W-2 Managing Employee |
May 6, 2013 May 6, 2013 May 6, 2013 |
| Sumter Pediatrics PA | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer W-2 Managing Employee |
Sep 1, 2014 Sep 1, 2014 Sep 1, 2014 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Clermont, FL
- NPI 1972788537
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
-
- Rural Health Clinic/Center
- Leesburg, FL
- NPI 1003258666
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
-
- Rural Health Clinic/Center
- Clermont, FL
- NPI 1386934750
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Sumterville, FL
- NPI 1174924757
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
-
- Rural Health Clinic/Center
- Tavares, FL
- NPI 1679854343
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Clermont, FL
- NPI 1386934750
-
- Family Medicine Physician
- Clermont, FL
- NPI 1871988428
-
- Non-Pharmacy Dispensing Site
- Clermont, FL
- NPI 1245499367
-
- Urgent Care Clinic/Center
- Clermont, FL
- NPI 1871500454
-
- Primary Care Clinic/Center
- Clermont, FL
- NPI 1750546966
-
- Primary Care Clinic/Center
- Clermont, FL
- NPI 1992378202
-
- Primary Care Clinic/Center
- Sumterville, FL
- NPI 1265005565
-
- Primary Care Clinic/Center
- Tavares, FL
- NPI 1629641923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1669411161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 CITRUS TOWER BLVD",
"address_2": "STE 102",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111908",
"telephone_number": "352-394-3929",
"fax_number": "352-394-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 CITRUS TOWER BLVD",
"address_2": "STE 102",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111908",
"telephone_number": "352-394-3929",
"fax_number": "352-394-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFZAL",
"first_name": "MOHAMMAD",
"credential": "MD MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 72542",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "3193271205",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260332200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "593711113",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
- Adventist Health System/Sunbelt Inc
- Adventist Health System/Sunbelt, Inc (AdventHealth Total Health Management AH Primary Care Plus - Clermont Hammock Ridge)
- Adventist Health System/Sunbelt, Inc (AdventHealth Centra Care - Hammock Ridge)
- Aendira Medical LLC (Clermont Urgent Care)
- Aesthetic Dermatology PA
- Agape Compassionate Care
- Amitesh Agarwal, MD
- Alka Aggarwal, M.D.
- Amit Aggarwal, MD
- Adheesh Agnihotri, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.