Active NPI
Ashraf Gayed Andrawis, MD
- Pain Medicine Physician
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- ME90040
- Practice address
- 1543 Kingsley Ave
BLDG 3
Orange Park, FL 32073-4535 - Phone
- (904) 264-0770
- Fax
- (904) 264-0670
- NPI assigned
- Nov 22, 2005
- Last updated
- Apr 10, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | ME90040 | FL | Primary |
Addresses
Primary practice location
1543 Kingsley Ave
BLDG 3
Orange Park, FL 32073-4535
Mailing address
1543 Kingsley Ave
BLDG 3
Orange Park, FL 32073-4535
Phone (904) 264-0770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16753Z | Other | FL | MEDICARE GROUP NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1045 Riverside Ave
Suite 110
Jacksonville, FL 32204-4148
Phone (904) 264-0770
1543 Kingsley Ave
Suite 3
Orange Park, FL 32073-4583
Phone (904) 264-0770
1548 S Water St
Starke, FL 32091-4511
Phone (904) 264-0770
159 N 3Rd St
Macclenny, FL 32063-2103
Phone (904) 264-0770
4131 University Blvd S
Suite 11
Jacksonville, FL 32216-4346
Phone (904) 264-0770
Hospital & facility affiliations
- Ed Fraser Memorial Hospital
- HCA Florida North Florida Hospital
- Ascension St Vincent's Clay County
- Ascension St Vincent's Riverside
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Spine & Pain Center PA | Pain Medicine | Current | Accepting new patients |
| Premier Assisted Living Facility, LLC | Current | Accepting new patients | |
| Affordable Health Center, Inc | Past | Accepting new patients |
Locations
1045 Riverside Ave
Ste 110
Jacksonville, FL 32204
Phone (904) 264-0770
4131 University Blvd S
Ste 11
Jacksonville, FL 32216
Phone (904) 636-7755
159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815
1543 Kingsley Ave
Ste 3
Orange Park, FL 32073
Phone (904) 264-0770
554 Kingsley Ave
#5
Orange Park, FL 32073
Phone (904) 264-0770
1548B S Water St
Starke, FL 32091
Phone (352) 346-3127
Organizations & group practices 3
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.
-
- Pain Medicine Physician
- Orange Park, FL
- NPI 1679762876
-
- Assisted Living Facility
- Orange Park, FL
- NPI 1962140210
-
- Chiropractor
- Orange Park, FL
- NPI 1275849549
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Macclenny, FL
- NPI 1104926401
-
dba HCA Florida North Florida Hospital
- General Acute Care Hospital
- Gainesville, FL
- NPI 1174579155
-
dba Ascension St. Vincent's Riverside
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
dba Ascension St. Vincent's Clay County
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
-
dba Ascension St Vincent's Riverside
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365552000000",
"number": "1568445666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1543 KINGSLEY AVE",
"address_2": "BLDG 3",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734535",
"telephone_number": "904-264-0770",
"fax_number": "904-264-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1543 KINGSLEY AVE",
"address_2": "BLDG 3",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734535",
"telephone_number": "904-264-0770",
"fax_number": "904-264-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRAWIS",
"first_name": "ASHRAF",
"middle_name": "GAYED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2013-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME90040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "16753Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.