Individual provider Active NPI

Banji O Awosika, MD

  • Specialist
  • Winter Garden, FL
National Provider Identifier
1295770428
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME90977 Issued in FL
Practice address
1210 E Plant St
Suite 120
Winter Garden, FL 34787-2996
Phone
(407) 297-8408
Fax
(407) 297-8409
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME90977 FL Primary

Addresses

Primary practice location

1210 E Plant St
Suite 120
Winter Garden, FL 34787-2996

Mailing address

1210 E Plant St
Suite 120
Winter Garden, FL 34787-2996
Phone (407) 297-8408

Other identifiers 1

IdentifierTypeStateIssuer
270585100MedicaidFL

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
I20041013000735 FL Practitioner - Nephrology 2668374216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Orange Nephrology LLCGroup PAC ID 8325016397, 5 clinicians

Practice addresses (Care Compare)

301 S W Crown Point Rd
Suite 120
Winter Garden, FL 34787-2950
Phone (407) 297-8408

Hospital & facility affiliations

  • West Orange Orlando Dialysis Center LLC Dialysis facility, Orlando, FL, CCN 682638
  • West Orange Winter Garden Dialysis Center LLC Dialysis facility, Winter Garden, FL, CCN 682600
  • Renal Care Group - Clermont Dialysis facility, Clermont, FL, CCN 102787
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

Merit-based Incentive Payment System (MIPS)

Final score
98.49 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
72.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90977FLMDSpecialist

Practice roles (8 of 10)

OrganizationSpecialtyStatusNew patients
Onyx Medical & Wellness Center LLC CurrentSince Aug 1, 2025 Accepting new patients
West Orange Wellness LLC CurrentSince Aug 11, 2025 Accepting new patients
West Orange Palm Coast Dialysis Center LLC Current Accepting new patients
West Orange Nephrology LLC Specialist CurrentSince Aug 11, 2004 Accepting new patients
Renviva Dialysis Center of Eastern Panhandle, LLC PastSince Aug 19, 2021 Accepting new patients
Inpatient Solutions PC Past Accepting new patients
Renviva Dialysis Center of Sarasota County PastSince May 2, 2024 Accepting new patients
West Orange Winter Garden Dialysis Center, LLC PastSince Aug 1, 2019 Accepting new patients

Locations

10000 W Colonial Dr
Ste 180
Ocoee, FL 34761
Phone (407) 578-6610

572 Ocoee Commerce Pkwy
Ocoee, FL 34761
Phone (407) 228-6635

1743 Park Center Dr
Ste 350
Orlando, FL 32835
Phone (321) 329-5950

301 S West Crown Point Rd
Ste 120
Winter Garden, FL 34787

1210 E Plant St
Ste 120
Winter Garden, FL 34787
Phone (407) 405-7616

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCFJCA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1295770428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E PLANT ST",
            "address_2": "SUITE 120",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872996",
            "telephone_number": "407-297-8408",
            "fax_number": "407-297-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E PLANT ST",
            "address_2": "SUITE 120",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872996",
            "telephone_number": "407-297-8408",
            "fax_number": "407-297-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWOSIKA",
        "first_name": "BANJI",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME90977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270585100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.