Organization Active NPI

Dr.Badawy Pain & Spine Center, LLC

  • Pain Clinic/Center
  • Orlando, FL
National Provider Identifier
1518308170
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
ME 110154 Issued in FL
Legal business name
DR.BADAWY PAIN & SPINE CENTER, LLC
Practice address
4351 Hunters Park LN
Orlando, FL 32837-7614
Phone
(407) 574-3129
Fax
(407) 985-4702
NPI assigned
Jul 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Authorized official

Name
Amr H. BadawyNPI 1538104161
Title
Owner
Phone
(407) 985-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X ME 110154 FL Primary

Addresses

Primary practice location

4351 Hunters Park LN
Orlando, FL 32837-7614

Mailing address

4351 Hunters Park LN
Orlando, FL 32837-7614
Phone (407) 985-4700

Other identifiers 1

IdentifierTypeStateIssuer
015074100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131030001017 FL Part B Supplier - Clinic/Group Practice 2567697410 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL
O20160303000176 FL DME Supplier - Physician - General PracticeDME Supplier - Physician - Anesthesiology 2567697410 Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

7364 Stonerock Cir
#A
Orlando, FL 32819
Phone (407) 363-7760

4351 Hunters Park Ln
Orlando, FL 32837
Phone (407) 574-3129

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1518308170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 HUNTERS PARK LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377614",
            "telephone_number": "407-985-4700",
            "fax_number": "407-985-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 HUNTERS PARK LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377614",
            "telephone_number": "407-574-3129",
            "fax_number": "407-985-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.BADAWY PAIN & SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2024-09-02",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "BADAWY",
        "authorized_official_first_name": "AMR",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-985-4700"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "ME 110154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015074100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.