Individual provider Active NPI

Sultan S Ahmed, MD

  • Family Medicine Physician
  • Miramar, FL
National Provider Identifier
1730129222
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME90913 Issued in FL
Practice address
6151 Miramar Pkwy
Sutie 104
Miramar, FL 33023-3970
Phone
(954) 965-6001
Fax
(954) 965-6009
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME90913 FL Primary

Addresses

Primary practice location

6151 Miramar Pkwy
Sutie 104
Miramar, FL 33023-3970

Mailing address

6151 Miramar Pkwy
Sutie 104
Miramar, FL 33023-3970
Phone (954) 965-6001

Other identifiers 2

IdentifierTypeStateIssuer
272692100MedicaidFL
32644OtherBCBS

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
I20040506001191 FL Practitioner - Family Practice 9133118193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6151 Miramar Pkwy
Suite 104
Miramar, FL 33023-3970
Phone (954) 965-6001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90913FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jas Medical Management LLC Family Medicine CurrentSince Aug 1, 2004 Accepting new patients

Locations

6151 Miramar Pkwy
Ste 104
Miramar, FL 33023
Phone (954) 554-3285

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1730129222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 MIRAMAR PKWY",
            "address_2": "SUTIE 104",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233970",
            "telephone_number": "954-965-6001",
            "fax_number": "954-965-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 MIRAMAR PKWY",
            "address_2": "SUTIE 104",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233970",
            "telephone_number": "954-965-6001",
            "fax_number": "954-965-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SULTAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME90913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272692100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "32644",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.