Active NPI
Jaime D Abuan, MD
- Family Medicine Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME90989
- Practice address
- 2815 Lakeland Hills Blvd
Lakeland, FL 33805-2224 - Phone
- (863) 284-5000
- Fax
- (863) 284-6904
- NPI assigned
- Jan 12, 2006
- Last updated
- Jul 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME90989 | FL | Primary |
Addresses
Primary practice location
2815 Lakeland Hills Blvd
Lakeland, FL 33805-2224
Mailing address
1324 Lakeland Hills Blvd.
Attn: Managed Care Dept.
Lakeland, FL 33805
Other practice location 1
1130 1st St S
Winter Haven, FL 33880-3903
Phone (863) 229-7486
Other practice location 2
1130 1st St S
Winter Haven, FL 33880-3903
Phone (863) 229-7486
Other practice location 3
3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 284-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jabuan17135@LRHS.direct-ci.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3030 Harden Blvd
Lakeland, FL 33803-7952
Phone (863) 284-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 64.08
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME90989 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Lakeland Regional Medical Center, Inc. | Past | Accepting new patients | |
| Lakeland Regional Health Systems, Inc. | Family Medicine | Past | Accepting new patients |
Locations
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
2815 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 284-6900
2815 Lakeland Hills Blvd
Ste 200
Lakeland, FL 33805
Phone (863) 297-5400
3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
Interoperability endpoints
- jabuan17135@lrhs.direct-ci.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1902241482
Family Medicine
-
dba Lakeland Regional Medical Center
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lakeland Regional Medical Center
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1265411755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 LAKELAND HILLS BLVD.",
"address_2": "ATTN: MANAGED CARE DEPT.",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338052224",
"telephone_number": "863-284-5000",
"fax_number": "863-284-6904"
}
],
"practiceLocations": [
{
"address_1": "1130 1st St S",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "338803903",
"country_code": "US",
"telephone_number": "863-229-7486",
"fax_number": "863-280-6614",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1130 1st St S",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "338803903",
"country_code": "US",
"telephone_number": "863-229-7486",
"fax_number": "863-280-6614",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3030 Harden Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "33803",
"country_code": "US",
"telephone_number": "863-284-5000",
"fax_number": "863-284-6716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABUAN",
"first_name": "JAIME",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME90989",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jabuan17135@LRHS.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2815 Lakeland Hills Blvd",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338052224",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
- Stephen Hart Abrams, O.D.
- Christian Abreu-Ramirez, MD
- Saintan Absalon
- Samer M Abu Rahmeh, AUD
- Ala Abuaita, MD
- Abundant Love & Care Assisted Living Facility 2 Inc.
- Mohammad Abureesh, MD
- Accelerated Rehab & Performance, Inc
- Access Home Care Solutions LLC
- Access Medical Group of Lakeland, LLC (Community Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.