Active NPI
Anesa W Ahamad, M.D.
- Radiation Oncology Physician
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME89438
- Practice address
- 21355 E Dixie Hwy Ste 111
Aventura, FL 33180 - Phone
- (305) 692-1100
- Fax
- (305) 692-1111
- NPI assigned
- Sep 16, 2006
- Last updated
- Jul 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | L8584 | TX | |
| Radiation Oncology Physician | 2085R0001X | ME89438 | FL | Primary |
Addresses
Primary practice location
21355 E Dixie Hwy Ste 111
Aventura, FL 33180
Mailing address
2160 Colonial Blvd
Fort Myers, FL 33907-1410
Phone (239) 931-7342
Other practice location 1
3426 N Roosevelt Blvd
Key West, FL 33040-4224
Phone (305) 296-0021
Other practice location 2
5555 Ponce De Leon Blvd
Coral Gables, FL 33146-2513
Phone (305) 689-5555
Other practice location 3
5555 Ponce De Leon Blvd
Coral Gables, FL 33146-2513
Phone (305) 689-5555
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7490640 | Other | FL | AETNA THRU KEYS PHA |
| 1052055 | Other | FL | CIGNA |
| 14C0H | Other | FL | BCBS FL |
| 158343701 | Medicaid | TX | |
| 346218 | Other | FL | AVMED |
| 789645 | Other | FL | WELLCARE |
| P00921457 | Other | FL | RAILROAD MEDICARE |
| 003252000 | Medicaid | FL |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8584 | TX | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Past | Accepting new patients | |
| Genesiscare USA of Florida LLC | Past | Accepting new patients |
Locations
5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 585-1052
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UMiami Medicine Multi Specialty Services
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
dba Integrated Oncology of South Florida
- Medical Oncology Physician
- Aventura, FL
- NPI 1992114235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1710083506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 COLONIAL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071410",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21355 E DIXIE HWY STE 111",
"city": "AVENTURA",
"state": "FL",
"postal_code": "33180",
"telephone_number": "305-692-1100",
"fax_number": "305-692-1111"
}
],
"practiceLocations": [
{
"address_1": "3426 N Roosevelt Blvd",
"address_purpose": "LOCATION",
"city": "Key West",
"state": "FL",
"postal_code": "330404224",
"country_code": "US",
"telephone_number": "305-296-0021",
"fax_number": "305-296-0061",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5555 Ponce De Leon Blvd",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331462513",
"country_code": "US",
"telephone_number": "305-689-5555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5555 Ponce De Leon Blvd",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331462513",
"country_code": "US",
"telephone_number": "305-689-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHAMAD",
"first_name": "ANESA",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "L8584",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME89438",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA THRU KEYS PHA",
"identifier": "7490640",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1052055",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "14C0H",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158343701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "346218",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "789645",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00921457",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003252000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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- Affordable Community Housing Trust -Alpha, Inc. (Imperial Club)
- Tatiana Agafonova, D.C.
- Alexander M Aguiar
- Ahava Home Nursing Registry, Inc
- Ramesh Ahmadi, M.D.
- Aja Health Corp (Miami Primary)
- Nadine Ajami
- Fayez Ajib, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.