Individual provider Active NPI

Amena Payami, DO

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1457972424
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19623 Issued in FL
Practice address
7975 Lake Underhill Rd Ste 200
Orlando, FL 32822-8204
Phone
(407) 303-8683
NPI assigned
Apr 30, 2020
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19623 FL Primary

Addresses

Primary practice location

7975 Lake Underhill Rd Ste 200
Orlando, FL 32822-8204

Mailing address

2534 Wild Tamarind Blvd
Orlando, FL 32828-7395

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
I20231212001025 FL Practitioner - Family Practice 7214358688 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19623FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Florida Health Center Inc CurrentSince Dec 8, 2023 Accepting new patients
Heart of Florida Health Center, Inc CurrentSince Dec 8, 2023 Accepting new patients

Locations

1025 SW 1st Ave
Ocala, FL 34471
Phone (352) 877-7140

2553 E Silver Springs Blvd
Ocala, FL 34470
Phone (352) 867-0303

6041 SW 54th St
Ste 100
Ocala, FL 34474
Phone (352) 854-0700

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1457972424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 WILD TAMARIND BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 LAKE UNDERHILL RD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228204",
            "telephone_number": "407-303-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYAMI",
        "first_name": "AMENA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2023-10-23",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "19623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.