Individual provider Active NPI

Muhammad Javid Bhutta, MD

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1871650192
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39768 Issued in KY
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
39768OtherKYMEDICAL LICENSE
PENDINGMedicaidKY

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
I20130724000030 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 8527166727 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Infectious Diseases LLC CurrentSince Jul 31, 2019 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCCCA
  • FHIR API: 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.

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

Verify at the official NPI Registry.