NPIMap

Individual provider Active NPI

Mohammed Abdul Bari Asif, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Deland, FL
National Provider Identifier
1811928674
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME#94467 Issued in FL
Practice address
151 Victoria Commons Blvd Ste 104
Deland, FL 32724-7722
Phone
(386) 740-4083
NPI assigned
Jul 6, 2006
Last updated
Mar 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME#94467 FL Primary

Addresses

Primary practice location

151 Victoria Commons Blvd Ste 104
Deland, FL 32724-7722

Mailing address

151 Victoria Commons Blvd Ste 104
Deland, FL 32724-7722
Phone (386) 740-4083

Other identifiers 1

IdentifierTypeStateIssuer
U6892XOtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000233 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 4082629209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

151 Victoria Commons Blvd
Suite 102
Deland, FL 32724-7722
Phone (386) 740-4082

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME#94467FLMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc CurrentSince Aug 1, 2023 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince May 5, 2019 Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

Interoperability endpoints

  • Direct secure messaging: asif.mohammed.1@20432.direct.athenahealth.com
  • Direct secure messaging: masif71397@adventhealth.direct-ci.com

Organizations & group practices 2

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 9

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1811928674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 VICTORIA COMMONS BLVD STE 104",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247722",
            "telephone_number": "386-740-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 VICTORIA COMMONS BLVD STE 104",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247722",
            "telephone_number": "386-740-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIF",
        "first_name": "MOHAMMED",
        "middle_name": "ABDUL BARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME#94467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U6892X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.