Organization Active NPI

Bay Area Family Practice PA

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1710212691
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME99720 Issued in FL
Legal business name
BAY AREA FAMILY PRACTICE PA
Practice address
7758 Wallace Rd Ste E
Orlando, FL 32819-7218
Phone
(407) 271-8933
Fax
(407) 271-8934
NPI assigned
Oct 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Mohammed A MuqeemNPI 1386693398
Title
MD
Phone
(407) 846-2786

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME99720 FL Primary

Addresses

Primary practice location

7758 Wallace Rd Ste E
Orlando, FL 32819-7218

Mailing address

7758 Wallace Rd Ste E
Orlando, FL 32819-7218
Phone (407) 271-8933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100226000202 FL Part B Supplier - Clinic/Group Practice 3072658277 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, 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
10D2002423Bay Area Family Practice PA7758 Wallace Rd Ste E, Orlando, FL 32819Certificate of waiverJul 21, 2026

National Provider Directory

National Provider Directory

Locations

7758 Wallace Rd
Ste E
Orlando, FL 32819
Phone (407) 271-8933

Practitioners & affiliated clinicians

Practitioners 2

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": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1710212691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7758 WALLACE RD STE E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197218",
            "telephone_number": "407-271-8933",
            "fax_number": "407-271-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7758 WALLACE RD STE E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197218",
            "telephone_number": "407-271-8933",
            "fax_number": "407-271-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "MUQEEM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "407-846-2786"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME99720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.