NPIMap

Individual provider Active NPI

Ehsan Rafiq, M.D.

  • Gastroenterology Physician
  • Orlando, FL
National Provider Identifier
1801029608
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME130537 Issued in FL
Practice address
1817 N Mills Ave
Orlando, FL 32803-1853
Phone
(419) 913-8247
NPI assigned
Aug 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.15805 OH
Gastroenterology Physician 207RG0100X ME130537 FL Primary

Addresses

Primary practice location

1817 N Mills Ave
Orlando, FL 32803-1853

Mailing address

1817 N Mills Ave
Orlando, FL 32803-1853
Phone (419) 913-8247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150901001014 OH Practitioner - Internal Medicine 1456515873 Reassigns benefits to 2 organizations
I20181004001096 FL Practitioner - Internal MedicinePractitioner - Gastroenterology 1456515873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Assoc of Central FLGroup PAC ID 1456331545, 12 clinicians

Practice addresses (Care Compare)

1817 N Mills Ave
Orlando, FL 32803-1853
Phone (407) 896-1726

1920 Don Wickham Dr
Suite 325
Clermont, FL 34711-1978
Phone (407) 896-1726

4106 W Lake Mary Blvd
Suite 201
Lake Mary, FL 32746-3344
Phone (407) 896-1726

7432 Red Bug Lake Rd
Oviedo, FL 32765-7154
Phone (407) 896-1726

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy93
Upper gastrointestinal (GI) endoscopy for acid reflux172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.15805OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Dec 29, 2018 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jul 1, 2018 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 29, 2018 Accepting new patients
Mercy Health Physicians-North LLC Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients

Locations

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

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.

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": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1801029608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031853",
            "telephone_number": "419-913-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031853",
            "telephone_number": "419-913-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIQ",
        "first_name": "EHSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-26",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.15805",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME130537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.