Active NPI
Ayesha Ahmar MD and Associates
- Family Medicine Physician
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- AYESHA AHMAR MD AND ASSOCIATES
- Practice address
- 1349 S International Pkwy Ste 1411
Lake Mary, FL 32746-1698 - Phone
- (407) 333-3360
- NPI assigned
- Sep 26, 2018
- Last updated
- Sep 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ayesha Ahmar, MD
- Title
- Owner
- Phone
- (407) 333-3360
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Adult Medicine Physician | 207QA0505X |
Addresses
Primary practice location
1349 S International Pkwy Ste 1411
Lake Mary, FL 32746-1698
Mailing address
1349 S International Pkwy Ste 1411
Lake Mary, FL 32746-1698
Phone (321) 436-7089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262674800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1023758 | Ayesha Ahmar MD & Associates, LLC | Certificate of waiver | Mar 23, 2028 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/fhir/r4/
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.
-
- Family Medicine Physician
- Lake Mary, FL
- NPI 1215955000
-
- Medical Physician Assistant
- Lake Mary, FL
- NPI 1053655878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537920000000",
"number": "1881179828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1349 S INTERNATIONAL PKWY STE 1411",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461698",
"telephone_number": "321-436-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1349 S INTERNATIONAL PKWY STE 1411",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461698",
"telephone_number": "407-333-3360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AYESHA AHMAR MD AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A",
"authorized_official_last_name": "AHMAR",
"authorized_official_first_name": "AYESHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-333-3360",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262674800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.