Individual provider Active NPI

Abilash Haridas, M.D.

  • Neurological Surgery Physician
  • Orlando, FL
National Provider Identifier
1326200122
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME133241 Issued in FL
Practice address
615 E Princeton St Ste 101
Orlando, FL 32803-1435
Phone
(407) 236-0006
NPI assigned
Jul 2, 2008
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 4301103504 MI
Neurological Surgery Physician 207T00000X ME133241 FL Primary

Addresses

Primary practice location

615 E Princeton St Ste 101
Orlando, FL 32803-1435

Mailing address

615 E Princeton St Ste 101
Orlando, FL 32803-1435
Phone (407) 236-0006

Other practice location 1

5129 S Lakeland Dr Ste 2
Lakeland, FL 33813-2599
Phone (863) 232-4323

Other practice location 2

4919 W Melrose Ave S
Tampa, FL 33629-5419
Phone (248) 705-2439

Other identifiers 1

IdentifierTypeStateIssuer
022258200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abilash.haridas@worldbrainmapping.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180106000040 FL Practitioner - Neurosurgery 7517112758 Reassigns benefits to 2 organizations
I20250313001139 CA Practitioner - Neurosurgery 7517112758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Health Surgical Group LLCGroup PAC ID 4082787130, 51 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1234 SE Magnolia Ext
Unit 1
Ocala, FL 34471-3770
Phone (352) 401-1218

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

5400 Balboa Blvd
Suite 111
Encino, CA 91316-5206
Phone (248) 705-2439

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion40
Laminectomy or laminotomy (partial removal of spine bones)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME133241FLMDNeurological Surgery Physician
4301103504MIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Health Trauma, LLC CurrentSince Nov 10, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 23, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 23, 2023 Accepting new patients
Astra Neurosurgical Institute, P.C. Neurological Surgery CurrentSince Dec 28, 2024 Accepting new patients
Ocala Health Surgical Group LLC CurrentSince Nov 10, 2024 Accepting new patients

Locations

5400 Balboa Blvd
Ste 111
Encino, CA 91316
Phone (818) 784-8975

1121 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 331-6777

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1234 SE Magnolia Ext
Unit 1
Ocala, FL 34471
Phone (352) 401-1218

4600 SW 46th Ct
Ste 250
Ocala, FL 34474
Phone (352) 291-2400

615 E Princeton St
Ste 101
Orlando, FL 32803
Phone (407) 236-0006

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: abilash.haridas@direct.mybaycare.org
  • Direct secure messaging: aharidas1149010@adventhealth.direct-ci.com

Organizations & group practices 5

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 3

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1326200122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031435",
            "telephone_number": "407-236-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031435",
            "telephone_number": "407-236-0006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5129 S Lakeland Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338132599",
            "country_code": "US",
            "telephone_number": "863-232-4323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4919 W Melrose Ave S",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336295419",
            "country_code": "US",
            "telephone_number": "248-705-2439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARIDAS",
        "first_name": "ABILASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301103504",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME133241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022258200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abilash.haridas@worldbrainmapping.org",
            "affiliation": "N",
            "address_1": "4321 N Macdill Ave Ste 407",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336076396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.