Individual provider Active NPI

Adam J Prawer, MD

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1841594801
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME108773 Issued in FL
Practice address
5101 Brittany Dr S
St Petersburg, FL 33715-1565
Phone
(727) 867-2151
Fax
(727) 867-6835
NPI assigned
Jan 6, 2011
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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 ME108773 FL Primary

Addresses

Primary practice location

5101 Brittany Dr S
St Petersburg, FL 33715-1565

Mailing address

10051 5TH Street North #200
St. Petersburg, FL 33715-1565
Phone (727) 867-2151

Other identifiers 1

IdentifierTypeStateIssuer
010245100MedicaidFL

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
I20110223000028 FL Practitioner - Family Practice 2062693153 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians
PMG Inpatient Services LLCGroup PAC ID 1254878069, 4 clinicians
Prawer Medical GroupGroup PAC ID 1658642434, 5 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

3030 6TH S St
Saint Petersburg, FL 33705-3720
Phone (727) 894-8719

5101 Brittany Dr S
St Petersburg, FL 33715-1565
Phone (279) 547-2047

6280 Central Ave
Suite H2
St Petersburg, FL 33707-1429
Phone (800) 699-9395

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME108773FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Florida LLC CurrentSince Feb 13, 2024 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59 LLC CurrentSince Nov 26, 2012 Accepting new patients
PMG Inpatient Services LLC Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Sunshine Health Partners, LLC CurrentSince Feb 12, 2024 Accepting new patients
KND Development 59, LLC CurrentSince Nov 26, 2012 Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients

Locations

2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

80 W Lucerne Cir
Orlando, FL 32801
Phone (407) 839-5050

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

5101 Brittany Dr S
St Petersburg, FL 33715
Phone (727) 867-2151

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Westminster SuncoastSt Petersburg, FL, CCN 105926 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2014
Apr 17, 2025
Accentcare Hospice & Palliative Care of Pinellas CountyClearwater, FL, CCN 101559 Hospice Contracted Managing Employee Feb 11, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1841594801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 5TH STREET NORTH #200",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337151565",
            "telephone_number": "727-867-2151",
            "fax_number": "727-867-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 BRITTANY DR S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337151565",
            "telephone_number": "727-867-2151",
            "fax_number": "727-867-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAWER",
        "first_name": "ADAM",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-06",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME108773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010245100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.