Individual provider Active NPI

Daniel Ntim Amponsah, M.D.

  • Family Medicine Physician
  • Longwood, FL
National Provider Identifier
1093997579
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME99974 Issued in FL
Practice address
555 W State Road 434
Longwood, FL 32750-5119
Phone
(407) 262-2220
Fax
(407) 834-5011
NPI assigned
Nov 27, 2007
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME99974 FL Primary
Hospitalist Physician 208M00000X ME99974 FL

Addresses

Primary practice location

555 W State Road 434
Longwood, FL 32750-5119

Mailing address

555 W State Road 434
Longwood, FL 32750-5119
Phone (407) 262-2220

Other practice location 1

133 Benmore Dr Ste 200
Winter Park, FL 32792
Phone (407) 646-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080604000148 FL Practitioner - Family Practice 8123198090 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

555 W State Rd
Suite 434
Longwood, FL 32750-5119
Phone (407) 237-6377

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME99974FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartan Medical Group Family Medicine Current Accepting new patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Mar 5, 2018 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 5, 2018 Accepting new patients
Astha Health Hospitalist CurrentSince Dec 11, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2025 Accepting new patients
Adventist Health System Sunbelt Inc Past Accepting new patients
Adventist Health Systems Sunbelt Inc Past Accepting new patients

Locations

804 Emmett St
Kissimmee, FL 34741
Phone (407) 449-4559

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

7975 Lake Underhill Rd
Ste 200
Orlando, FL 32822
Phone (407) 303-5990

133 Benmore Dr
Ste 200
Winter Park, FL 32792
Phone (407) 599-6060

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1093997579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505119",
            "telephone_number": "407-262-2220",
            "fax_number": "407-834-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505119",
            "telephone_number": "407-262-2220",
            "fax_number": "407-834-5011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Benmore Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "32792",
            "country_code": "US",
            "telephone_number": "407-646-7070",
            "fax_number": "407-646-7747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMPONSAH",
        "first_name": "DANIEL",
        "middle_name": "NTIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME99974",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME99974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.