LONGWOOD MEDICAL GROUP
NPI 1164161840
Internal Medicine - Interventional Cardiology in Longwood, FL

Q: What is Internal Medicine LLC's NPI number?

The NPI number for Internal Medicine LLC is 1164161840. It was assigned to this organization in the NPPES registry on June 1, 2022. The provider is doing business as Longwood Medical Group.

Q: What is Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since June 01, 2022

450 W STATE ROAD 434 STE 1010, LONGWOOD, FL 32750(407) 786-0004(407) 636-7689 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2024, Jul 24, 2024, Jun 12, 2024 (3 updates tracked since 2024).

On this page

About Longwood Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONGWOOD MEDICAL GROUP (NPI 1164161840) is a healthcare organization registered as an interventional cardiology in Longwood, Florida and active in the NPI registry since June 2022. The organization lists Andy Jordan, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1164161840

Entity TypeOrganization

Primary Taxonomy207RI0011X

Legal Business NameINTERNAL MEDICINE LLC

Location Address450 W STATE ROAD 434 STE 1010Longwood, FL 32750-5187

Mailing Address450 W State Road 434 Ste 1010Longwood, FL 32750-5187

Phone(407) 786-0004

Fax(407) 636-7689

Organization SubpartNo

Authorized OfficialAndy JordanCredentialing Specialist · (321) 206-8100

Enumeration DateJune 1, 2022

Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration

NPPES CertifiedAugust 16, 2024

✔ NPI 1164161840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

450 W STATE ROAD 434 STE 1010, Longwood, FL 32750

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Other Names 1

Doing Business AsLongwood Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Longwood Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to Longwood Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Wasim Ahmar, MD

Cardiovascular Disease (Cardiology)

NPI 1528061330

450 W STATE ROAD 434 STE 301
Longwood, FL 32750

(407) 767-8200

✔ PECOS✔ Accepts MedicareSame address

Khalid Yaqoob, MD

Cardiovascular Disease (Cardiology)

NPI 1285686428

450 W STATE ROAD 434 STE 301
Longwood, FL 32750

(407) 767-8200

✔ PECOS✔ Accepts MedicareSame address

Shahid Sharif, MD

Internal Medicine

NPI 1578579272

1906 WINGFIELD DR
Longwood, FL 32779

(407) 215-5657

✔ PECOS3.2 mi

Shazia Sadler, FNP-C

Nurse Practitioner

NPI 1255180022

2830 GROVE DRIVE
Sanford, FL 32773

(407) 800-9929

✔ PECOS✔ Accepts Medicare7.8 mi

Davidson Antenor, NP

Nurse Practitioner

NPI 1720527815

453 N KIRKMAN RD STE 203
Orlando, FL 32811

(407) 914-2325

✔ PECOS✔ Accepts Medicare12 mi

Gabriel Ortiz Rivera

General Practice

NPI 1932728557

876 SAXON BLVD
Orange City, FL 32763

(386) 774-0491

✔ PECOS✔ Accepts Medicare15 mi

Arturo Wong

General Practice

NPI 1245967462

919 SPRING HARVEST CT
Orlando, FL 32828

(407) 533-0188

✔ PECOS✔ Accepts Medicare17 mi

Jasmine Cruz Sanchez, M.D.

General Practice

NPI 1891010716

900 TOWNE CENTER DR
Kissimmee, FL 34759

(407) 931-0444

✔ PECOS39 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Internal Medicine LLC's NPI number?

The NPI number for Internal Medicine LLC is 1164161840. It was assigned to this organization in the NPPES registry on June 1, 2022. The provider is doing business as Longwood Medical Group.

Where is Internal Medicine LLC located?

Internal Medicine LLC is located at 450 W State Road 434 Ste 1010, Longwood, FL 32750. The listed phone number is (407) 786-0004.

What is Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Internal Medicine LLC enrolled in Medicare?

Yes. Internal Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Internal Medicine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are General Practice (3), Cardiovascular Disease (Cardiology) (2) and Nurse Practitioner (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Internal Medicine LLC accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Internal Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Internal Medicine LLC was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.