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

Mujiba Sanjareen Ansari, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1427579432

Mujiba Sanjareen Ansari, PHYSICIANASSISTANT is a Physician Assistant in Lecanto, Florida. Qualified in 2017, 9 years ago. Practices with Rockford Health Physicians, a 521-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Illinois.

Years since qualifying
9
Licensed in
FL, IL
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

3248 W Pebble Beach Ct
Lecanto, FL 34461-7774
Phone: (352) 270-1527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8201 E Riverside Blvd, Rockford, IL 61114-2300 — (815) 971-7000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9110443 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 085008466 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085008466 (IL)

Record details

NPI number1427579432
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 29, 2017
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Rockford Health Physicians — 521 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lecanto