Shakil Ahmed, MD
Individual provider Active NPI Internal Medicine Physician · Longwood, FL
NPI 1710935705 · NPPES record last updated Jul 5, 2019
Key facts
- NPI
- 1710935705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME90431 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mid Florida Hospital Specialists PA
Hina Azmat MD PA
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
- Vitas Healthcare Corporation of Florida
- Adventhealth Fish Memorial
- Central Florida Lake Monroe Hospital
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 |
|---|---|---|---|---|
| I20041207000254 | FL | Practitioner - Internal Medicine |
7012813629 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (11 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hina Azmat MD PA | Internal Medicine | Current |
Accepting new patients |
| Orlando Health Medical Group Inc | Current |
Accepting new patients | |
| Inpatient Consultants of Florida Inc | Internal Medicine | Current |
Accepting new patients |
| Rockledge Physician Services, LLC | Current |
Accepting new patients | |
| Mid Florida Hospital Specialists PA | Internal Medicine | Current |
Accepting new patients |
| Inpatient Consultants of Florida, Inc | Internal Medicine | Current | Accepting new patients |
| Halifax Healthcare Systems Inc | Current |
Accepting new patients | |
| Orlando Health Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Randolph Health Systems, LLC | Past | Accepting new patients | |
| Central Florida Medical Associates, Inc | Internal Medicine | Past |
Accepting new patients |
| Wedowee Hospital | Internal Medicine | Past | 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
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
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
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- shakil.ahmed.1@15649.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME90431 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102543900 | Medicaid | FL |
Other providers in Longwood, FL
- Maaria Ahmad
- Mozhgan Ahmadi Afshari
- Wasim Ahmar
- Imran Ahmed
- Saqib Ahmed
- Akl Active Inc
- Antonina E Alava
- Albertsons LLC
- Albertsons LLC
- Jayleen Alcantara
All providers in Longwood, FL · Internal 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 Jul 5, 2019. 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.