Jaime D Abuan, MD
Individual provider Active NPI Family Medicine Physician · Lakeland, FL
NPI 1265411755 · NPPES record last updated Jul 20, 2022
Key facts
- NPI
- 1265411755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME90989 (FL)
- Practice address
- 2815 Lakeland Hills Blvd
Lakeland, FL 33805-2224 - Phone
- (863) 284-5000
- Fax
- (863) 284-6904
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
3030 Harden Blvd
Lakeland, FL 33803-7952
Phone (863) 284-5000
Hospital & facility affiliations
- Lakeland Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 64.08
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.83
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040923000710 | FL | Practitioner - Family Practice | 3577531813 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Regional Health Systems, Inc. | Current |
Accepting new patients | |
| Lakeland Regional Health Systems, Inc. | Family Medicine | Past |
Accepting new patients |
| Lakeland Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
2815 Lakeland Hills Blvd
Ste 200
Lakeland, FL 33805
Phone (863) 297-5400
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222
2815 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 284-6900
Interoperability endpoints
- jabuan17135@lrhs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME90989 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270542700 | Medicaid | FL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jabuan17135@LRHS.direct-ci.com | Direct |
Other providers in Lakeland, FL
- Stephen Hart Abrams
- Christian Abreu-Ramirez
- Saintan Absalon
- Samer M Abu Rahmeh
- Ala Abuaita
- Abundant Love & Care Assisted Living Facility 2 Inc.
- Mohammad Abureesh
- Accelerated Rehab & Performance, Inc
- Access Home Care Solutions LLC
- Access Medical Group of Lakeland, LLC
All providers in Lakeland, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.