NPIMap

Individual provider Active NPI

Shakil Ahmed, MD

  • Internal Medicine Physician
  • Longwood, FL
National Provider Identifier
1710935705
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME90431 Issued in FL
Practice address
555 W State Road 434
Longwood, FL 32750-5119
Phone
(321) 842-2994
Fax
(407) 767-5801
NPI assigned
May 4, 2006
Last updated
Jul 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME90431 FL Primary

Addresses

Primary practice location

555 W State Road 434
Longwood, FL 32750-5119

Mailing address

555 W State Road 434
Longwood, FL 32750-5119
Phone (321) 842-2994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207000254 FL Practitioner - Internal MedicinePractitioner - Hospitalist 7012813629 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid Florida Hospital Specialists PAGroup PAC ID 5092628107, 53 clinicians
Hina Azmat MD PAGroup PAC ID 5496812828, 2 clinicians

Practice addresses (Care Compare)

1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 321-4500

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-1996

770 Deltona Blvd
Suite a
Deltona, FL 32725-7168

770 Deltona Blvd a
Deltona, FL 32725-7168
Phone (386) 259-9902

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc CurrentSince Feb 26, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 15, 2019 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine Current Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Sep 8, 2014 Accepting new patients
Hina Azmat MD PA Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Rockledge Physician Services, LLC CurrentSince Dec 27, 2020 Accepting new patients
Mid Florida Hospital Specialists PA Internal Medicine CurrentSince May 1, 2021 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Aug 15, 2019 Accepting new patients
Randolph Health Systems, LLC Past Accepting new patients
Wedowee Hospital Internal Medicine Past Accepting new patients
Central Florida Medical Associates, Inc Internal Medicine PastSince Jun 25, 2009 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

3300 E Halifax Crossing Blvd
Deltona, FL 32725
Phone (386) 425-1800

770 Deltona Blvd
Ste A
Deltona, FL 32725
Phone (386) 259-9902

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

5717 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (321) 207-0172

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: shakil.ahmed.1@15649.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1710935705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505119",
            "telephone_number": "321-842-2994",
            "fax_number": "407-767-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505119",
            "telephone_number": "321-842-2994",
            "fax_number": "407-767-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SHAKIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME90431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.