Active NPI
Mahmoud Yahya Ahmad, MD
- Surgical Critical Care Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- ME135963
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-3530 - Phone
- (352) 273-5670
- Fax
- (352) 273-5683
- NPI assigned
- Jul 29, 2015
- Last updated
- Sep 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME135963 | FL | |
| Surgical Critical Care Physician | 2086S0102X | ME135963 | FL | Primary |
| Trauma Surgery Physician | 2086S0127X | 39010 | OK |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-3530
Mailing address
PO Box 100108
Gainesville, FL 32610-0108
Phone (352) 273-5670
Other practice location 1
311 N Clyde Morris Blvd
Daytona Beach, FL 32114-2781
Phone (386) 241-1020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201092630A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN, VA, MO, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 SW Archer
Gainesville, FL 32610-3003
1600 SW Archer Rd
Gainesville, FL 32610-3003
1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535
1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 861-3010
2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250
2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990
303 N Clyde Morris Blvd
Halifax Health
Daytona Beach, FL 32114-2709
Phone (386) 425-4000
311 N Clyde Morris Blvd
Daytona Beach, FL 32114-2781
7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 483-0000
Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022018367 | MO | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Surgery | Current | Accepting new patients |
| Urgent Specialty Associates PLLC | Surgery | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Urgent Specialty Associates of Missouri LLC | Surgical Critical Care | Current | Accepting new patients |
Locations
311 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 241-1020
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- mahmad646328@direct.shands.ufl.edu
- mahmood.ahmad@hca4.eclinicaldirectplus.com
Organizations & group practices 5
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 UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Surgery Physician
- Salem, VA
- NPI 1457125718
-
- Surgical Critical Care Physician
- Kansas City, MO
- NPI 1992436422
-
dba UF Health Family Medicine Ocala Heath Brook
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Halifax Medical Center
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1811991227
-
dba CJW Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
-
dba Lewisgale Medical Center
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1720463979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100108",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100108",
"telephone_number": "352-273-5670",
"fax_number": "352-273-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103530",
"telephone_number": "352-273-5670",
"fax_number": "352-273-5683"
}
],
"practiceLocations": [
{
"address_1": "311 N Clyde Morris Blvd",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321142781",
"country_code": "US",
"telephone_number": "386-241-1020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMAD",
"first_name": "MAHMOUD",
"middle_name": "YAHYA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-29",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME135963",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "ME135963",
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "OK",
"license": "39010",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201092630A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.
- 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.