Individual provider Active NPI

Jaime D Abuan, MD

  • Family Medicine Physician
  • Lakeland, FL
National Provider Identifier
1265411755
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME90989 Issued in FL
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000710 FL Practitioner - Family Practice 3577531813 Reassigns benefits to 1 organization

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
Lakeland Regional Health Systems IncGroup PAC ID 8325952914, 513 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
ME90989FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Regional Health Systems, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Lakeland Regional Medical Center, Inc. Past Accepting new patients
Lakeland Regional Health Systems, Inc. Family Medicine PastSince Jul 24, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Sources for this page

Verify at the official NPI Registry.