Organization Active NPI

Ashraf Elsakr, M.D., P.a.,

  • Cardiovascular Disease Physician
  • Port Orange, FL
National Provider Identifier
1679769293
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME70981 Issued in FL
Legal business name
ASHRAF ELSAKR, M.D., P.A.,
Practice address
840 Dunlawton Ave
Suite a
Port Orange, FL 32127-4223
Phone
(386) 304-9672
Fax
(386) 304-9673
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Dr. Ashraf S Elsakr, M.D.NPI 1184627390
Title
Owner
Phone
(386) 304-9672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME70981 FL Primary

Addresses

Primary practice location

840 Dunlawton Ave
Suite a
Port Orange, FL 32127-4223

Mailing address

840 Dunlawton Ave
Suite a
Port Orange, FL 32127-4223
Phone (386) 304-9672

Other identifiers 1

IdentifierTypeStateIssuer
250345000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429001095 FL Part B Supplier - Clinic/Group Practice 9638166747 Receives reassigned benefits from 4 practitioners
Practice locations: Port Orange, FL

National Provider Directory

National Provider Directory

Locations

840 Dunlawton Ave
Ste A
Port Orange, FL 32127
Phone (386) 304-9672

730 Dunlawton Ave
Ste A
Port Orange, FL 32127
Phone (386) 304-9672

840 Dunlawton Ave
Port Orange, FL 32127

730 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 304-9672

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1679769293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 DUNLAWTON AVE",
            "address_2": "SUITE A",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274223",
            "telephone_number": "386-304-9672",
            "fax_number": "386-304-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 DUNLAWTON AVE",
            "address_2": "SUITE A",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274223",
            "telephone_number": "386-304-9672",
            "fax_number": "386-304-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHRAF ELSAKR, M.D., P.A.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "ELSAKR",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-304-9672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME70981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250345000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.