Amira Athanasios, MD
Individual provider Active NPI Addiction Psychiatry Physician · Trinity, FL
NPI 1437788296 · NPPES record last updated Jul 30, 2025
Key facts
- NPI
- 1437788296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction Psychiatry Physician 2084P0802X
- License
- 196670 (CA)
- Practice address
- 9330 State Road 54
Trinity, FL 34655-1808 - Phone
- (727) 834-4868
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- George Washington University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alameda Health System
Practice addresses (Care Compare)
1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800
Hospital & facility affiliations
- Highland Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20250929002903 | CA | Practitioner - Psychiatry |
4486150539 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196670 | CA | MD | Addiction Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Current |
Accepting new patients | |
| Alameda Health System | Current |
Accepting new patients | |
| Alameda Health System | Current | Accepting new patients |
Locations
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768
Interoperability endpoints
- aathanasios149763@alamedahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 196670 | CA | Yes |
Addresses
Primary practice location
9330 State Road 54
Trinity, FL 34655-1808
Mailing address
9330 State Road 54
Trinity, FL 34655-1808
Other providers in Trinity, FL
- Apc, Inc -New Port Richey
- Apn, LLC
- Apollo Medical Group PA
- Daniela Alejandra Arevalo
- Salma Khaled Asous
- Laura Atkinson
- J Paul H. Augereau
- Patrick Augustyn
- Cary A Aungst
- Raja Irsalan Aurangzeb
All providers in Trinity, FL · Addiction Psychiatry 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 30, 2025. 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.