Individual provider Active NPI

Mahmoud Yahya Ahmad, MD

  • Surgical Critical Care Physician
  • Gainesville, FL
National Provider Identifier
1720463979
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
ME135963 Issued in FL
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201092630AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN, VA, MO, DC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20190529001030 FL Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 8729321112 Reassigns benefits to 1 organization
I20220621000977 TN Practitioner - General Surgery 8729321112
I20230131001697 VA Practitioner - General SurgeryPractitioner - Anesthesiology 8729321112 Reassigns benefits to 2 organizations
I20230320001064 MO Practitioner - General Surgery 8729321112 Reassigns benefits to 1 organization
I20230913002982 DC Practitioner - General Surgery 8729321112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HCA Virginia Trauma Surgery Specialists LLCGroup PAC ID 5799137576, 13 clinicians
Urgent Specialty Associates PLLCGroup PAC ID 7618235995, 56 clinicians

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

LicenseStateTypeSpecialty
2022018367MOMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Surgery CurrentSince Sep 19, 2023 Accepting new patients
Urgent Specialty Associates PLLC Surgery CurrentSince Jan 17, 2023 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 19, 2023 Accepting new patients
Urgent Specialty Associates of Missouri LLC Surgical Critical Care CurrentSince Feb 1, 2023 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

  • Direct secure messaging: mahmad646328@direct.shands.ufl.edu
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.