Antony Manaloor Abraham, DO
Individual provider Active NPI Internal Medicine Physician · Temple Terrace, FL
NPI 1104114263 · NPPES record last updated Oct 28, 2019
Key facts
- NPI
- 1104114263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- OS15021 (FL)
- Practice address
- 13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926 - Phone
- (813) 779-6303
- Fax
- (888) 977-1998
- NPI assigned
- Jul 11, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Hospital Healthcare Partners, Inc
Practice addresses (Care Compare)
1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 742-3581
Hospital & facility affiliations
- Compassionate Care Hospice of Lake and Sumter Inc
- Adventhealth Waterman
- Adventhealth Orlando
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180404001181 | FL | Practitioner - Hospitalist |
3577783026 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS15021 | FL | MD | Internal Medicine Physician |
Practice roles (6 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Healthcare Partners, Inc | Internal Medicine | Current |
Accepting new patients |
| Pioneer Medical Group, PL | Internal Medicine | Current |
Accepting new patients |
| Adventist Health System-Sunbelt Inc | Current |
Accepting new patients | |
| Florida Hospital Physician Group Inc | Internal Medicine | Current |
Accepting new patients |
| Adventist Health System-Sunbelt Inc | Current |
Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current |
Accepting new patients |
Locations
601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
26844 Tanic Dr
Ste 101
Wesley Chapel, FL 33544
38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- aabraham130798@adventhealth.direct-ci.com
- amabraha@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | OS15021 | FL | |
| Internal Medicine Physician | 207R00000X | OS15021 | FL | Yes |
Addresses
Primary practice location
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Mailing address
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 779-6303
Other providers in Temple Terrace, FL
- Aaxess Health LLC
- Sinan Samir Abdul-Wahab
- Saif Abdullah
- Netsanet Abebe
- Medjine Abellard
- Abundance Healthcare LLC
- Ashley Marie Accius
- Achieve Home Care, LLC
- Jennilee Lauran Acton
- Matthew M Acton
All providers in Temple Terrace, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.