Individual provider Active NPI

Aysha Meloukheia, MD

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1801912894
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME85739 Issued in FL
Practice address
422 S Alafaya Trail Suite 17
Orlando, FL 32828
Phone
(407) 275-0745
Fax
(407) 275-0829
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME85739 FL Primary

Addresses

Primary practice location

422 S Alafaya Trail Suite 17
Orlando, FL 32828

Mailing address

2749 Rainbow Springs LN
Orlando, FL 32828-7783
Phone (407) 275-0745

Other identifiers 2

IdentifierTypeStateIssuer
50184AOtherFLBCBS
K5634AOtherFLGROUP MEDICARE

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
I20040729000160 FL Practitioner - Psychiatry 9234114091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Group of Orlando PAGroup PAC ID 9335124197, 4 clinicians

Practice addresses (Care Compare)

422 S Alafaya TRL
Suite 17
Orlando, FL 32828-8984
Phone (407) 275-0745

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85739FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Group of Orlando PA Psychiatry CurrentSince Mar 1, 2004 Accepting new patients

Locations

422 S Alafaya Trl
Ste 17
Orlando, FL 32828
Phone (407) 275-0745

2500 Discovery Dr
Orlando, FL 32826
Phone (407) 275-2203

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1801912894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 RAINBOW SPRINGS LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287783",
            "telephone_number": "407-275-0745",
            "fax_number": "407-275-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 S ALAFAYA TRAIL SUITE 17",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32828",
            "telephone_number": "407-275-0745",
            "fax_number": "407-275-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELOUKHEIA",
        "first_name": "AYSHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME85739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50184A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "K5634A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.