Individual provider Active NPI

Abdo Raymond Asmar, M.D.

  • Nephrology Physician
  • Orlando, FL
National Provider Identifier
1205869658
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME109500 Issued in FL
Practice address
9975 Tavistock Lakes Blvd Ste 160
Orlando, FL 32827-7665
Phone
(407) 266-3627
Fax
(407) 882-4799
NPI assigned
Jul 9, 2006
Last updated
Apr 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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 ME109500 FL Primary

Addresses

Primary practice location

9975 Tavistock Lakes Blvd Ste 160
Orlando, FL 32827-7665

Mailing address

3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone (407) 266-3627

Other practice location 1

3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone (407) 266-3627

Other identifiers 1

IdentifierTypeStateIssuer
021153400MedicaidFL

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
I20110926000599 FL Practitioner - Nephrology 8022011733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone (407) 882-4814

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Central Florida CurrentSince Sep 1, 2011 Accepting new patients
The University of Central Florida Board of Trustees Current Accepting new patients
The University of Central Florida Board of Trustees CurrentSince Sep 1, 2011 Accepting new patients
University of Central Florida Nephrology Past Accepting new patients
Communication Disorders Clinic Past Accepting new patients

Locations

12424 Research Pkwy
Ste 155
Orlando, FL 32826
Phone (407) 249-4770

3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627

9975 Tavistock Lakes Blvd
Ste 160
Orlando, FL 32827
Phone (407) 266-3627

9975 Tavistock Lakes Blvd
Ste 360
Orlando, FL 32827
Phone (407) 266-3627

Interoperability endpoints

  • Direct secure messaging: abdo.asmar@ucfh.eclinicaldirectplus.com

Organizations & group practices 5

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 2

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1205869658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 QUADRANGLE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171492",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 TAVISTOCK LAKES BLVD STE 160",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277665",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Quadrangle Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328171492",
            "country_code": "US",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASMAR",
        "first_name": "ABDO",
        "middle_name": "RAYMOND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME109500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021153400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.