Individual provider Active NPI

Amer Ansari, DO

  • Interventional Pain Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1295996106
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
OS11586 Issued in FL
Practice address
3230 Hillsdale LN
Kissimmee, FL 34741-7562
Phone
(407) 785-1967
NPI assigned
Jun 23, 2008
Last updated
Oct 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS11586 FL
Interventional Pain Medicine Physician 208VP0014X OS11586 FL Primary

Addresses

Primary practice location

3230 Hillsdale LN
Kissimmee, FL 34741-7562

Mailing address

4243 NW Federal Hwy
Jensen Beach, FL 34957-3600
Phone (800) 735-1178

Other practice location 1

4243 NW Federal Hwy
Jensen Beach, FL 34957-3600
Phone (800) 735-1178

Other practice location 2

121 W Underwood St
Orlando, FL 32806-1111
Phone (800) 735-1178

Other identifiers 3

IdentifierTypeStateIssuer
103833000MedicaidFL
14JK0OtherFLBCBS
100347800MedicaidFL

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
I20120614000089 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 9133383664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fakhoury Medical and Chiropractic Center PLLCGroup PAC ID 8628116464, 7 clinicians
Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1009 SW 16TH Lane
Ocala, FL 34471-1229
Phone (352) 351-3413

11251 S Orange Blossom TRL
Suite 101
Orlando, FL 32837-9297
Phone (407) 785-1967

1736 33Rd St
Suite 100
Orlando, FL 32839-8862
Phone (407) 385-1551

3450 E Fletcher Ave
Suite 350
Tampa, FL 33613-4699
Phone (813) 739-7493

6449 102ND Ave N
Pinellas Park, FL 33782-3027
Phone (727) 350-0450

7376 Stonerock Cir
Unit 3
Orlando, FL 32819-8000
Phone (407) 385-1557

8449 SW Hwy 200
Suite 141
Ocala, FL 34481-9695
Phone (352) 693-3378

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11586FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fakhoury Medical & Chiropractic Center PLLC CurrentSince Dec 21, 2018 Accepting new patients
Florida Pain Relief Group PLLC Pain Medicine CurrentSince Nov 1, 2023 Accepting new patients
Physician Partners of America Crna Operations LLC PastSince Jun 26, 2017 Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001

3230 Hillsdale Ln
Kissimmee, FL 34741
Phone (407) 413-3200

1009 SW 17th St
Ocala, FL 34471
Phone (352) 351-3413

11251 S Orange Blossom Trl
Ste 101
Orlando, FL 32837
Phone (407) 501-6841

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

Interoperability endpoints

  • Direct secure messaging: amer.ansari.1@20217.direct.athenahealth.com

Organizations & group practices 4

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1295996106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573600",
            "telephone_number": "800-735-1178",
            "fax_number": "772-223-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 HILLSDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417562",
            "telephone_number": "407-785-1967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4243 NW Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Jensen Beach",
            "state": "FL",
            "postal_code": "349573600",
            "country_code": "US",
            "telephone_number": "800-735-1178",
            "fax_number": "772-223-6354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 W Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061111",
            "country_code": "US",
            "telephone_number": "800-735-1178",
            "fax_number": "772-223-6354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "AMER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS11586",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS11586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103833000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14JK0",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100347800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.