Dr Ejaz Ahmed MD PA
NPI 1245636042 · Family Medicine Physician · Daytona Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dr Ejaz Ahmed MD PA is a Family Medicine Physician organization in Daytona Beach, FL (NPI 1245636042).
Provider details
- NPI number
- 1245636042
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ejaz Ahmed, President(386) 235-8731
- License
- ME95557 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Urgent Care & Family Practice Center
Registry dates
- Enumerated
- 2014-11-06
- Last updated
- 2014-11-06
Frequently asked questions
- What is Dr Ejaz Ahmed MD PA's NPI number?
- Dr Ejaz Ahmed MD PA's National Provider Identifier (NPI) is 1245636042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Ejaz Ahmed MD PA?
- Dr Ejaz Ahmed MD PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dr Ejaz Ahmed MD PA located?
- Dr Ejaz Ahmed MD PA's practice location on file with NPPES is 405 North Clyde Morris Blvd, Daytona Beach, FL 32114-2730.
- What is Dr Ejaz Ahmed MD PA's phone number?
- The practice phone number listed in the NPPES registry for Dr Ejaz Ahmed MD PA is (386) 235-8731.
- Does Dr Ejaz Ahmed MD PA accept Medicare?
- Dr Ejaz Ahmed MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dr Ejaz Ahmed MD PA?
- The authorized official listed on Dr Ejaz Ahmed MD PA's NPPES record is Ejaz Ahmed, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Ejaz Ahmed MD PA's NPI active?
- Yes — Dr Ejaz Ahmed MD PA's NPI (1245636042) is active in the NPPES registry as of the last update on 2014-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.