Individual provider Active NPI

Shafiuddin Ahmed, MD

  • Neurology Physician
  • Altamonte Springs, FL
National Provider Identifier
1962666941
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME114677 Issued in FL
Practice address
601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone
(407) 303-6648
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X C1-0009303 DE
Vascular Neurology Physician 2084V0102X ME114677 FL
Neurology Physician 2084N0400X ME114677 FL Primary

Addresses

Primary practice location

601 E Altamonte Dr
Altamonte Springs, FL 32701

Mailing address

1685 Lee Rd Ste 210
Winter Park, FL 32789-2235
Phone (407) 303-6648

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
I20130830000703 FL Practitioner - Neurology 3779775366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2100 Ocoee Apopka Rd
Apopka, FL 32703-9210
Phone (407) 609-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME114677FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Neurology CurrentSince Aug 19, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 19, 2013 Accepting new patients
Rayyan Neurological Association LLC Neurology CurrentSince Jan 12, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 19, 2013 Accepting new patients

Locations

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

2100 Ocoee Apopka Rd
Apopka, FL 32703
Phone (407) 607-7000

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1685 Lee Rd
Ste 210
Winter Park, FL 32789
Phone (407) 303-6648

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1962666941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 LEE RD STE 210",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892235",
            "telephone_number": "407-303-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ALTAMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-303-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SHAFIUDDIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DE",
            "license": "C1-0009303",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "FL",
            "license": "ME114677",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME114677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.