Organization Active NPI

Ayesha Ahmar MD and Associates

  • Family Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1881179828
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Ayesha Ahmar, MDNPI 1215955000
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
262674800MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181219001225 FL Part B Supplier - Clinic/Group Practice 4981949955 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Mary, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1023758Ayesha Ahmar MD & Associates, LLC1349 S International Parkway Suite 1411, Lake Mary, FL 32746Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.