Ahsheema Asmaa Bacchus, MD
Individual provider Active NPI Family Medicine Physician · Leesburg, FL
NPI 1699209296 · NPPES record last updated Apr 27, 2023
Key facts
- NPI
- 1699209296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 40881 (SC)
- Practice address
- 32845 Radio Rd
Leesburg, FL 34788-3977 - Phone
- (352) 504-3453
- Fax
- (352) 504-3454
- NPI assigned
- Apr 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 24
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cora Health Services Inc
Adventhealth Primary Care Network Inc
Practice addresses (Care Compare)
2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378
32845 Radio Rd
Leesburg, FL 34788-3977
Phone (352) 504-3453
661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040
Hospital & facility affiliations
- Adventhealth Home Health
- Pinnacle Home Care of the Villages Inc
- Concierge Home Care
- Centerwell Home Health
- Vitas Healthcare Corporation of Florida
- Adventhealth Waterman
- Adventhealth Daytona Beach
- Adventhealth Orlando
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230711002756 | FL | Practitioner - Family Practice | 3476824707 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME159085 | FL | MD | Family Medicine Physician |
| 40881 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| Adventhealth Primary Care Network Inc | Family Medicine | Current |
Accepting new patients |
| Florida Hospital Medical Group Inc | Current |
Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
32845 Radio Rd
Leesburg, FL 34788
Phone (352) 343-0181
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
Interoperability endpoints
- abacchus1237796@adventhealth.direct-ci.com
- abacchus169766@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME159085 | FL | |
| Family Medicine Physician | 207Q00000X | 40881 | SC | Yes |
Addresses
Primary practice location
32845 Radio Rd
Leesburg, FL 34788-3977
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8617
Other practice location 1
300 W Front St
Liberty, SC 29657-1012
Phone (864) 843-5605
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408810 | Medicaid | SC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abacchus169766@direct.ghs.myhfn.org | Direct |
Other providers in Leesburg, FL
- Heather Helen Avant
- Avante at Leesburg, Inc.
- Julie Avescat
- Mohamed Nazih Ayadi
- Marjolein Baas
- Mohamad Badran
- Cynthia Marie Bahoot
- Andrew P. Bailey
- Danielle Kesha-Lue Bailey
- Richard Louis Bailey
All providers in Leesburg, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.