Active NPI
Muhammad Javid Bhutta, MD
- Internal Medicine Physician
- Orlando, FL
National Provider Identifier
1871650192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 39768
- Practice address
- 10301 Emerald Woods Ave
Orlando, FL 32836-5936 - Phone
- (606) 416-2476
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39768 | KY | Primary |
Addresses
Primary practice location
10301 Emerald Woods Ave
Orlando, FL 32836-5936
Mailing address
10301 Emerald Woods Ave
Orlando, FL 32836-5936
Phone (606) 416-2476
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39768 | Other | KY | MEDICAL LICENSE |
| PENDING | Medicaid | KY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130724000030 | FL | Practitioner - Infectious Disease | 8527166727 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Infectious Diseases LLC | Current | Accepting new patients | |
| NSPG Billing LLC | Past | Accepting new patients | |
| Jenkins Healthcare Company Inc | Past | Accepting new patients | |
| Jenkins Community Hospital Dba Jenkins Community Hospital | Past | Accepting new patients | |
| Western Baptist Medical Ventures, Inc. | Past | Accepting new patients | |
| Florida Infectious Disease Consultants P.a | Past | Accepting new patients |
Locations
5670 54th Ave N
Ste A-1
Kenneth City, FL 33709
Phone (727) 319-0547
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFCCCA
- https://api.platform.athenahealth.com/18668/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Infectious Disease Physician
- Kenneth City, FL
- NPI 1992906655
FL
-
- Infectious Disease Physician
- Kissimmee, FL
- NPI 1801143136
FL
-
- Infectious Disease Physician
- Kissimmee, FL
- NPI 1952410573
-
- Clinic/Center
- Elkhorn City, KY
- NPI 1922143213
-
- Critical Access Hospital
- Jenkins, KY
- NPI 1790743607
-
- Urology Physician
- Newburyport, MA
- NPI 1144981721
-
- Neurological Surgery Physician
- Paducah, KY
- NPI 1316017080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1871650192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 EMERALD WOODS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328365936",
"telephone_number": "606-416-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 EMERALD WOODS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328365936",
"telephone_number": "606-416-2476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHUTTA",
"first_name": "MUHAMMAD",
"middle_name": "JAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "39768",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "39768",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.