Organization Active NPI

Osama Ansari LLC

Doing business as West Orlando Internal Medicine

  • Internal Medicine Physician
  • Ocoee, FL
National Provider Identifier
1679056311
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OSAMA ANSARI LLC
Doing business as
West Orlando Internal Medicine
Practice address
1551 Boren Dr Ste B
Ocoee, FL 34761-2966
Phone
(407) 284-7420
NPI assigned
Sep 10, 2018
Last updated
Sep 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Authorized official

Name
Rameez Ahmed
Title
Manager
Phone
(407) 284-7420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1551 Boren Dr Ste B
Ocoee, FL 34761-2966

Mailing address

1551 Boren Dr Ste B
Ocoee, FL 34761-2966
Phone (407) 284-7420

Other names 1

  • WEST ORLANDO INTERNAL MEDICINE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190221002157 FL Part B Supplier - Clinic/Group Practice 6507105301 Receives reassigned benefits from 1 practitioner
Practice locations: Ocoee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2158239West Orlando Internal Medicine1551 Boren Dr Suite B, Ocoee, FL 34761Certificate of waiverNov 25, 2026

National Provider Directory

National Provider Directory

Locations

1551 Boren Dr
Ste B
Ocoee, FL 34761
Phone (407) 284-7420

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1679056311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BOREN DR STE B",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612966",
            "telephone_number": "407-284-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BOREN DR STE B",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612966",
            "telephone_number": "407-284-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAMA ANSARI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "RAMEEZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-284-7420"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST ORLANDO INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.