Individual provider Active NPI

Caleb Agboola Awoniyi, M.D.

  • Anesthesiology Physician
  • Gainesville, FL
National Provider Identifier
1194804641
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME101672 Issued in FL
Practice address
1601 SW Archer Rd
NF/SG Veterans Health System
Gainesville, FL 32608-1135
Phone
(352) 376-1611
NPI assigned
Nov 3, 2006
Last updated
Feb 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME101672 FL Primary

Addresses

Primary practice location

1601 SW Archer Rd
NF/SG Veterans Health System
Gainesville, FL 32608-1135

Mailing address

1823 Vineyard Way
Tallahassee, FL 32317-7915
Phone (850) 264-7337

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
I20140723002748 FL Practitioner - Anesthesiology 9032335203 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Colorado School of Medicine, Denver, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fleming Island Anesthesia LLCGroup PAC ID 6002084860, 12 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

1670 Eagle Harbor Pkwy
Suite B
Orange Park, FL 32003-4820
Phone (904) 644-0700

3599 Univeristy Blvd S
Jacksonville, FL 32216-4252
Phone (904) 322-6774

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Nov 18, 2022 Accepting new patients
Sunbelt Anesthesia Services, LLC Anesthesiology CurrentSince Jun 1, 2019 Accepting new patients
Ams National LLC Anesthesiology CurrentSince Mar 10, 2018 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Aug 25, 2021 Accepting new patients
Ams Anesthetist Services LLC Anesthesiology CurrentSince Mar 7, 2018 Accepting new patients
Sunbelt Visiting Primary Care LLC PastSince Jan 1, 2017 Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

3599 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7600

7051 Southpoint Pkwy S
Jacksonville, FL 32216
Phone (904) 432-1521

8833 Perimeter Park Blvd
Ste 901
Jacksonville, FL 32216
Phone (904) 240-4777

368 NE Franklin St
Lake City, FL 32055
Phone (386) 292-8000

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

1100 11th St SW
Live Oak, FL 32064
Phone (386) 362-0800

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

1670 Eagle Harbor Pkwy
Orange Park, FL 32003

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

3801 E Highway 98
Port St Joe, FL 32456
Phone (850) 229-5600

922 E Call St
Starke, FL 32091
Phone (904) 368-2300

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

Organizations & group practices 7

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1194804641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 VINEYARD WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323177915",
            "telephone_number": "850-264-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "address_2": "NF/SG VETERANS HEALTH SYSTEM",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-376-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWONIYI",
        "first_name": "CALEB",
        "middle_name": "AGBOOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME101672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.