NPIMap

Individual provider Active NPI

Tania Abi Antoun, M.D.

  • Nephrology Physician
  • Orlando, FL
National Provider Identifier
1174766570
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME129397 Issued in FL
Practice address
3885 Oakwater Cir
Orlando, FL 32806-6257
Phone
(407) 816-5700
NPI assigned
Apr 14, 2009
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME129397 FL Primary

Addresses

Primary practice location

3885 Oakwater Cir
Orlando, FL 32806-6257

Mailing address

3885 Oakwater Cir
Orlando, FL 32806-6257
Phone (407) 816-5700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170508000328 FL Practitioner - Internal MedicinePractitioner - Neuropsychiatry 4789864786 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Neuropsychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Florida Kidney Specialists IncGroup PAC ID 6608233705, 38 clinicians

Practice addresses (Care Compare)

3885 Oakwater Cir
Orlando, FL 32806-6257
Phone (407) 816-5700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Central Florida, P.a. Nephrology CurrentSince Nov 1, 2021 Accepting new patients
Central Florida Kidney Specialists Inc Nephrology CurrentSince Mar 1, 2023 Accepting new patients
Mid Florida Hospital Specialists PA CurrentSince Feb 1, 2017 Accepting new patients
Renal Access of Central Florida LLC Nephrology Past Accepting new patients

Locations

2501 N Orange Ave
Ste 537N
Orlando, FL 32804
Phone (407) 894-4693

3885 Oakwater Cir
Orlando, FL 32806
Phone (407) 816-5700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

807 S Orlando Ave
Ste C
Winter Park, FL 32789
Phone (407) 894-4693

5717 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (321) 207-0172

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tania.abiantoun@direct.davitaphysiciansolutions.com

Organizations & group practices 4

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 7

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": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1174766570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066257",
            "telephone_number": "407-816-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066257",
            "telephone_number": "407-816-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABI ANTOUN",
        "first_name": "TANIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME129397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.