Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashik Jivan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114210945

Ashik Jivan is an Anesthesiology in Wesley Chapel, Florida. Qualified in 2011, 15 years ago. Practices with Blue Lake Health Springhill LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

26645 Middleground Loop
Wesley Chapel, FL 33544-1528
Phone: (813) 846-3581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD456286 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114210945
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 26, 2011
Last updated in NPPESOctober 29, 2015
Mailing address26645 Middleground Loop, Wesley Chapel, FL 33544-1528

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Blue Lake Health Springhill Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wesley Chapel