Individual provider Active NPI

Kazi Waqar Ahmad, MD

  • Psychiatry Physician
  • Ocoee, FL
National Provider Identifier
1811948615
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME114310 Issued in FL
Practice address
10125 W Colonial Dr Ste 212
Ocoee, FL 34761-4200
Phone
(833) 769-3524
NPI assigned
May 15, 2006
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME114310 FL Primary
Psychiatry Physician 2084P0800X 00024328 AL

Addresses

Primary practice location

10125 W Colonial Dr Ste 212
Ocoee, FL 34761-4200

Mailing address

10125 W Colonial Dr Ste 212
Ocoee, FL 34761-4200
Phone (833) 769-3524

Other practice location 1

1910 Cherokee Ave SW
Cullman, AL 35055-5502
Phone (256) 739-3500

Other identifiers 7

IdentifierTypeStateIssuer
51537567OtherALBCBS
1532606OtherALUBH - PLUS SERVICES
1522606OtherALUBH - BASIC SERVICES
009940374MedicaidAL
051557050MedicaidAL
332100641MedicaidAL
51557050OtherALBCBS OF ALABAMA

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
I20150622001168 FL Practitioner - Psychiatry 7416993787 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Mercer University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

10125 W Colonial Dr
Suite 212
Ocoee, FL 34761-4200
Phone (407) 753-7441

260 Lookout PL
Maitland, FL 32751-4485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00024328ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ehab Yacoub MD Inc. CurrentSince May 19, 2023 Accepting new patients
University Behavioral LLC Psychiatry CurrentSince Jan 1, 2015 Accepting new patients
Personal Recovery Network LLC Psychiatry CurrentSince May 1, 2020 Accepting new patients
Orlando Behavioral Healthcare Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Cullman County Medical Clinic Inc Past Accepting new patients

Locations

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

17011 State Road 50
Ste 301
Clermont, FL 34711
Phone (352) 833-6300

8570 Granite Ct
Ste 101
Fort Myers, FL 33908
Phone (239) 310-4646

130 S Indian River Dr
Ste 202
Fort Pierce, FL 34950
Phone (310) 515-8113

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

10125 W Colonial Dr
Ste 212
Ocoee, FL 34761
Phone (407) 753-7441

10967 Lake Underhill Rd
Ste 113
Orlando, FL 32825
Phone (407) 537-9451

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

1400 N US Highway 441
Ste 553
The Villages, FL 32159
Phone (352) 205-8514

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: fbh.kaziwaqarahmad@141363.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1811948615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 W COLONIAL DR STE 212",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614200",
            "telephone_number": "833-769-3524",
            "fax_number": "407-232-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 W COLONIAL DR STE 212",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614200",
            "telephone_number": "833-769-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Cherokee Ave SW",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350555502",
            "country_code": "US",
            "telephone_number": "256-739-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "KAZI",
        "middle_name": "WAQAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME114310",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "00024328",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51537567",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH - PLUS SERVICES",
            "identifier": "1532606",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH - BASIC SERVICES",
            "identifier": "1522606",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940374",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051557050",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332100641",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51557050",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.