Active NPI
Najeeb Khalil Ahmed Ansari, MD
- Pediatrics Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 27-0034858
- Practice address
- 5900 S John Young Pkwy
Orlando, FL 32839-3716 - Phone
- (407) 398-6470
- Fax
- (407) 894-6872
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-46883 | IA | |
| Pediatrics Physician | 208000000X | A63682 | CA | |
| Pediatrics Physician | 208000000X | 27-0034858 | FL | Primary |
Addresses
Primary practice location
5900 S John Young Pkwy
Orlando, FL 32839-3716
Mailing address
5900 S John Young Pkwy
Orlando, FL 32839-3716
Phone (407) 398-6470
Other practice location 1
1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Phone (641) 683-3448
Other practice location 2
220 E 13th St
Merced, CA 95340-6242
Phone (209) 723-3704
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A636820 | Medicaid | CA | |
| ME149034 | Other | FL | LICENSE |
| 116852700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63682 | CA | MD | Pharmacist |
| 27-0034858 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Children'S Medical Group | Pediatrics | Current | Accepting new patients |
Locations
9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700
1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880
Interoperability endpoints
- nansari20940@ahs.direct-ci.com
Organizations & group practices 1
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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1992816227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 S JOHN YOUNG PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328393716",
"telephone_number": "407-398-6470",
"fax_number": "407-894-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 S JOHN YOUNG PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328393716",
"telephone_number": "407-398-6470",
"fax_number": "407-894-6872"
}
],
"practiceLocations": [
{
"address_1": "1001 Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Ottumwa",
"state": "IA",
"postal_code": "525016427",
"country_code": "US",
"telephone_number": "641-683-3448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 E 13th St",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953406242",
"country_code": "US",
"telephone_number": "209-723-3704",
"fax_number": "209-723-0272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANSARI",
"first_name": "NAJEEB",
"middle_name": "KHALIL AHMED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "MD-46883",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A63682",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "27-0034858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A636820",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ME149034",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116852700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.