Organization Active NPI

Tnaeemmd LC

  • Internal Medicine Physician
  • Okeechobee, FL
National Provider Identifier
1881174779
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TNAEEMMD LC
Practice address
2257 US Highway 441 N Ste a
Okeechobee, FL 34972-1943
Phone
(863) 357-0104
Fax
(863) 357-3025
NPI assigned
Aug 20, 2018
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Tahir Naeem, MDNPI 1801820337
Title
Owner
Phone
(863) 357-0104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2257 US Highway 441 N Ste a
Okeechobee, FL 34972-1943

Mailing address

PO Box 490
Okeechobee, FL 34973-0490
Phone (863) 357-0104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190311002066 FL Part B Supplier - Clinic/Group Practice 8729327655 Receives reassigned benefits from 2 practitioners
Practice locations: Okeechobee, FL

National Provider Directory

National Provider Directory

Locations

265 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-0104

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1881174779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349730490",
            "telephone_number": "863-357-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 US HIGHWAY 441 N STE A",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721943",
            "telephone_number": "863-357-0104",
            "fax_number": "863-357-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TNAEEMMD LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "NAEEM",
        "authorized_official_first_name": "TAHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-357-0104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.