Individual provider Active NPI

Osama Ansari, M.D.

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1508093394
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME114061 Issued in FL
Practice address
4882 Quality TRL
Orlando, FL 32829-8203
Phone
(407) 440-3004
Fax
(407) 429-3899
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME114061 FL Primary

Addresses

Primary practice location

4882 Quality TRL
Orlando, FL 32829-8203

Mailing address

PO Box 677879
Orlando, FL 32867-7879
Phone (407) 440-3004

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
I20120920000307 FL Practitioner - Internal Medicine 3072761865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1551 Boren Dr
Suite B
Ocoee, FL 34761-2966
Phone (407) 284-7420

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030
  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME114061FLMDEmergency Medicine Physician

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Osama Ansari LLC Internal Medicine CurrentSince Sep 18, 2018 Accepting new patients
Inpatient Medicine Associates Imac PL Internal Medicine CurrentSince Jun 15, 2014 Accepting new patients
West Orlando Hospitalists CurrentSince Jun 5, 2022 Accepting new patients
Premier Specialists of Florida LLC PastSince Sep 1, 2018 Accepting new patients

Locations

1551 Boren Dr
Ste B
Ocoee, FL 34761
Phone (407) 284-7420

7727 Lk Under Hl
Orlando, FL 32822
Phone (407) 303-6413

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJFBD/Endpoint/EDJFBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJFBD

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1508093394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677879",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328677879",
            "telephone_number": "407-440-3004",
            "fax_number": "407-429-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4882 QUALITY TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298203",
            "telephone_number": "407-440-3004",
            "fax_number": "407-429-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "OSAMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME114061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.