NPIMap

Individual provider Active NPI

Munir Ammari, PA-C

  • Physician Assistant
  • Kissimmee, FL
National Provider Identifier
1801859277
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
461 W Oak St Ste a
Kissimmee, FL 34741-6624
Phone
(407) 957-0090
Fax
(407) 957-1113
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

461 W Oak St Ste a
Kissimmee, FL 34741-6624

Mailing address

461 W Oak St Ste a
Kissimmee, FL 34741-6624
Phone (407) 846-8600

Other identifiers 2

IdentifierTypeStateIssuer
102088400MedicaidFL
292329700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111001121 FL Practitioner - Physician Assistant 5698798072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

1345 W Bay Dr
202 Optum Largo
Largo, FL 33770-2276
Phone (727) 559-0895

461 W Oak St a
Optum Kissimmee
Kissimmee, FL 34741-6624
Phone (407) 846-8600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida, LLC CurrentSince Jun 1, 2016 Accepting new patients
Optumcare Florida LLC CurrentSince Jun 1, 2016 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients
Osprey Emergency Physicians LLC Past Accepting new patients

Locations

461 W Oak St
Ste A
Kissimmee, FL 34741
Phone (407) 846-8600

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

2902 17th St
Saint Cloud, FL 34769
Phone (407) 498-0461

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: munirali.ammari@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

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 6

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1801859277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 W OAK ST STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416624",
            "telephone_number": "407-846-8600",
            "fax_number": "727-568-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W OAK ST STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416624",
            "telephone_number": "407-957-0090",
            "fax_number": "407-957-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMARI",
        "first_name": "MUNIR",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102088400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292329700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.