Active NPI
Amer Ansari, DO
- Interventional Pain Medicine Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- OS11586
- Practice address
- 3230 Hillsdale LN
Kissimmee, FL 34741-7562 - Phone
- (407) 785-1967
- NPI assigned
- Jun 23, 2008
- Last updated
- Oct 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103833000 | Medicaid | FL | |
| 14JK0 | Other | FL | BCBS |
| 100347800 | Medicaid | FL |
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
- Physical Medicine and Rehabilitation
- 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
- Cora Health Services Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS11586 | FL | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fakhoury Medical & Chiropractic Center PLLC | Current | Accepting new patients | |
| Florida Pain Relief Group PLLC | Pain Medicine | Current | Accepting new patients |
| Physician Partners of America Crna Operations LLC | Past | 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
- 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.
-
- Chiropractor
- Ocala, FL
- NPI 1144458480
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tampa, FL
- NPI 1376994608
-
dba Integrated Spine & Joint Institute
- Interventional Pain Medicine Physician
- Kissimmee, FL
- NPI 1588142343
-
- Anesthesiology Physician
- Hurst, TX
- NPI 1992129365
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.