Organization Active NPI

Amana Medical Center, P.a.

Doing business as Amana Medical Center

  • General Practice Physician
  • Oviedo, FL
National Provider Identifier
1891051249
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME87949 Issued in FL
Legal business name
AMANA MEDICAL CENTER, P.A.
Doing business as
Amana Medical Center
Practice address
220 Alafaya Woods Blvd Ste 1000
Oviedo, FL 32765-6212
Phone
(321) 765-7065
Fax
(321) 765-7061
NPI assigned
Apr 10, 2012
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Dr. Jamal A Abusuwa, MDNPI 1053310342
Title
President
Phone
(321) 765-7065

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X ME87949 FL
Family Medicine Physician 207Q00000X ME87949 FL
General Practice Physician 208D00000X ME87949 FL Primary

Addresses

Primary practice location

220 Alafaya Woods Blvd Ste 1000
Oviedo, FL 32765-6212

Mailing address

220 Alafaya Woods Blvd Ste 1000
Oviedo, FL 32765-6212
Phone (321) 765-7065

Other identifiers 3

IdentifierTypeStateIssuer
GF041AOtherFLMEDICARE GROUP PROVIDER NO
023370100MedicaidFL
0033BOtherFLBCBS

Other names 1

  • AMANA MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120703000110 FL Part B Supplier - Clinic/Group Practice 1850556564 Receives reassigned benefits from 2 practitioners
Practice locations: Oviedo, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2039394Amana Medical Center, PA220 Alafaya Woods Blvd Ste 1000, Oviedo, FL 32765Certificate of waiverJan 19, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1891051249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ALAFAYA WOODS BLVD STE 1000",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656212",
            "telephone_number": "321-765-7065",
            "fax_number": "321-765-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ALAFAYA WOODS BLVD STE 1000",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656212",
            "telephone_number": "321-765-7065",
            "fax_number": "321-765-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANA MEDICAL CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "ABUSUWA",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-765-7065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME87949",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME87949",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME87949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER NO",
            "identifier": "GF041A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023370100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0033B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMANA MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.