Individual provider Active NPI

Hamidah Khalilah Ngo, DO

  • Internal Medicine Physician
  • Winter Park, FL
National Provider Identifier
1700414190
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H98238 Issued in MD
Practice address
4270 Aloma Ave
Winter Park, FL 32792-9424
Phone
(321) 788-2777
Fax
(321) 788-2781
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H98238 MD Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X OS23160 FL

Addresses

Primary practice location

4270 Aloma Ave
Winter Park, FL 32792-9424

Mailing address

4270 Aloma Ave
Winter Park, FL 32792-9424
Phone (321) 788-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230926003388 MD Practitioner - Internal Medicine 3375997265 Reassigns benefits to 1 organization
I20260205000902 FL Practitioner - Internal Medicine 3375997265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4270 Aloma Ave
Suite 104
Winter Park, FL 32792-9343

500 W Jefferson St
Louisville, KY 40202-2881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS23160FLMDInternal Medicine Physician
H98238MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jan 1, 2026 Accepting new patients
Upper Chesapeake Primary Care,LLC Multi-Specialty CurrentSince Sep 11, 2023 Accepting new patients
Harford Primary Care LLC Multi-Specialty PastSince Sep 17, 2023 Accepting new patients

Locations

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

4270 Aloma Ave
Ste 104
Winter Park, FL 32792
Phone (321) 788-2777

520 Upper Chesapeake Dr
Ste 308
Bel Air, MD 21014
Phone (443) 643-4300

2027 Pulaski Hwy
Ste 203
Hvre de Grace, MD 21078
Phone (410) 658-4099

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1700414190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929424",
            "telephone_number": "321-788-2777",
            "fax_number": "321-788-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929424",
            "telephone_number": "321-788-2777",
            "fax_number": "321-788-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "HAMIDAH",
        "middle_name": "KHALILAH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H98238",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS23160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.