Individual provider Active NPI

Sheikh K Jasimuddin, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Longwood, FL
National Provider Identifier
1720185630
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME100463 Issued in FL
Practice address
555 W Sr 434
Longwood, FL 32750-5119
Phone
(321) 842-2994
Fax
(407) 767-5801
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 237061 NY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME100463 FL Primary
Emergency Medicine Physician 207P00000X ME100463 FL

Addresses

Primary practice location

555 W Sr 434
Longwood, FL 32750-5119

Mailing address

555 W Sr 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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080619000512 FL Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Emergency Medicine 6103922257 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians
Emergency Physicians of Central Florida LLPGroup PAC ID 1850296567, 132 clinicians

Practice addresses (Care Compare)

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5762

9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (407) 351-8500

Hospital & facility affiliations

  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
  • HCA Florida Poinciana Hospital Hospital, Kissimmee, FL, CCN 100320

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Wales Emergency Physicians, LLC Emergency Medicine CurrentSince May 1, 2012 Accepting new patients
Ridgewood Emergency Group, LLC Emergency Medicine CurrentSince Nov 1, 2018 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Ridgewood Emergency Group, LLC Emergency Medicine CurrentSince Nov 1, 2018 Accepting new patients
Melbourne Emergency Group, LLC Emergency Medicine CurrentSince Nov 21, 2024 Accepting new patients
Polk Emergency Group LLC Emergency Medicine CurrentSince Aug 29, 2014 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Lake Wales Physician Services, LLC CurrentSince Oct 7, 2019 Accepting new patients
Mid-Florida Emergency Physicians, LLC Emergency Medicine CurrentSince Mar 1, 2012 Accepting new patients
Emergency Physicians of Central Florida LLP Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Inteam Health Inc Current Accepting new patients
Leesburg Regional Medical Center Physician Services LLC Emergency Medicine CurrentSince Jul 25, 2025 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jul 16, 2018 Accepting new patients
Advance Technological Radiology, PA Past Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients
Sebring Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Physician Specialists Inc Emergency Medicine PastSince Feb 1, 2013 Accepting new patients
Adventist Health System-Sunbelt Inc Past Accepting new patients
Ernesto Zavaleta, MD, PA Past Accepting new patients

Locations

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

8460 Champions Gate Blvd
Champions Gate, FL 33896
Phone (407) 530-2000

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

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

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

17021 US Highway 441
Mount Dora, FL 32757
Phone (352) 323-5762

11977 S Apopka Vineland Rd
Orlando, FL 32836
Phone (407) 782-6281

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

8300 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 359-6007

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Interoperability endpoints

  • Direct secure messaging: sjasimuddin563703@direct.shands.ufl.edu

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 6

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1720185630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W SR 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 SR 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505119",
            "telephone_number": "321-842-2994",
            "fax_number": "407-767-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASIMUDDIN",
        "first_name": "SHEIKH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "237061",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME100463",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME100463",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.