NPIMap

Individual provider Active NPI

Adnan Ahmed, M.D.

  • Nephrology Physician
  • Clermont, FL
National Provider Identifier
1811972789
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME82308 Issued in FL
Practice address
306 Mohawk Rd
Clermont, FL 34715-7434
Phone
(352) 394-1361
Fax
(352) 394-1362
NPI assigned
Dec 13, 2005
Last updated
Sep 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME82308 FL Primary

Addresses

Primary practice location

306 Mohawk Rd
Clermont, FL 34715-7434

Mailing address

PO Box 120836
Clermont, FL 34712-0836
Phone (352) 394-1361

Other identifiers 2

IdentifierTypeStateIssuer
6548COtherFLECFMG
262050200MedicaidFL

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
I20101022001021 FL Practitioner - NephrologyPractitioner - Internal Medicine 3779570239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

306 Mohawk Rd
Clermont, FL 34715-7434
Phone (352) 394-1361

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney & Hypertension Specialists of Central Florida Nephrology CurrentSince Aug 1, 2001 Accepting new patients
Dialysis Care Center Leesburg LLC PastSince Jun 1, 2022 Accepting new patients

Locations

306 Mohawk Rd
Minneola, FL 34715
Phone (352) 394-1361

10000 W Colonial Dr
Ste 483
Ocoee, FL 34761
Phone (407) 296-1929

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1811972789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120836",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347120836",
            "telephone_number": "352-394-1361",
            "fax_number": "352-394-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MOHAWK RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347157434",
            "telephone_number": "352-394-1361",
            "fax_number": "352-394-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ADNAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME82308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "6548C",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262050200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.