ALFRED FAM DO - NPI 1619807914 - Student in an Organized Health Care Education/Training Program in Wesley Chapel, FL

Q: What is Alfred Fam's NPI number?

The NPI number for Alfred Fam is 1619807914. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Q: What is Alfred Fam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Alfred Fam was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.

On this page

About Alfred Fam Do NPPES

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

ALFRED FAM DO (NPI 1619807914) is an individual student in an organized health care education/training program in Wesley Chapel, Florida, licensed in Florida (UO11948) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619807914

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameALFRED FAMCredential: DO

Location Address2700 HEALING WAY STE 100Wesley Chapel, FL 33543-5453

Mailing Address2700 Healing Way Ste 100Wesley Chapel, FL 33543-5453

Phone(813) 467-4756

Sole ProprietorNo

Enumeration DateMay 20, 2026

Last NPPES UpdateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1619807914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in FL · UO11948

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2700 HEALING WAY STE 100, Wesley Chapel, FL 33543

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alfred Fam Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER E PENNEY ANP, FNP

Nurse Practitioner (Family)