Individual provider Active NPI

Asma Bassam Amawi, DNP

  • Adult Medicine Physician
  • Winter Park, FL
National Provider Identifier
1174488563
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
APRN11043388 Issued in FL
Practice address
4355 Bear Gully Rd Ste 1024
Winter Park, FL 32792-9422
Phone
(407) 647-2550
NPI assigned
Dec 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X ND4888 FL
Adult Medicine Physician 207QA0505X APRN11043388 FL Primary

Addresses

Primary practice location

4355 Bear Gully Rd Ste 1024
Winter Park, FL 32792-9422

Mailing address

534 Pinebranch Cir
Winter Springs, FL 32708-5634

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260306003391 FL Practitioner - Nurse Practitioner 8820570831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winter Park Family Physicians LLCGroup PAC ID 5698058980, 6 clinicians

Practice addresses (Care Compare)

4355 Bear Gully Rd
Suite 1024
Winter Park, FL 32792-9422
Phone (407) 647-2550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND4888FLMDObesity and Weight Management Nutrition Registered Dietitian
APRN11043388FLMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winter Park Family Physicians LLC CurrentSince Jan 24, 2026 Accepting new patients

Locations

4355 Bear Gully Rd
Ste 1024
Winter Park, FL 32792
Phone (407) 331-4115

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1174488563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 PINEBRANCH CIR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 BEAR GULLY RD STE 1024",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929422",
            "telephone_number": "407-647-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAWI",
        "first_name": "ASMA",
        "middle_name": "BASSAM",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "FL",
            "license": "ND4888",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "APRN11043388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.