Active NPI
Sadi A Abusrur, M.D.
- Anesthesiology Physician
- Orlando, FL
National Provider Identifier
1912095258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME33741
- Practice address
- 2116 S Orange Ave Ste B
Orlando, FL 32806-3037 - Phone
- (407) 704-8990
- Fax
- (407) 730-5936
- NPI assigned
- Oct 11, 2006
- Last updated
- Mar 8, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME33741 | FL | Primary |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | ME33741 | FL | |
| Pediatric Anesthesiology Physician | 207LP3000X | ME33741 | FL |
Addresses
Primary practice location
2116 S Orange Ave Ste B
Orlando, FL 32806-3037
Mailing address
2240 Rickover PL
Winter Garden, FL 34787-5485
Phone (407) 656-6535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038516600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME33741 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanumuri Medical Group PA | Anesthesiology | Past | Accepting new patients |
| Ft. Walton Beach Anesthesia Services LLC | Anesthesiology | Past | Accepting new patients |
| Shands Teaching Hospital and Clinics Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba South Orange Pain Management
- Anesthesiology Physician
- Orlando, FL
- NPI 1518217561
-
- Anesthesiology Physician
- Fort Walton Beach, FL
- NPI 1245443829
-
- Anesthesiology Physician
- Lake Wales, FL
- NPI 1093761504
-
- Pharmacy
- Gainesville, FL
- NPI 1497645915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362700800000",
"number": "1912095258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 RICKOVER PL",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347875485",
"telephone_number": "407-656-6535",
"fax_number": "407-656-6535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 S ORANGE AVE STE B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328063037",
"telephone_number": "407-704-8990",
"fax_number": "407-730-5936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUSRUR",
"first_name": "SADI",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2013-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME33741",
"primary": true
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "FL",
"license": "ME33741",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "FL",
"license": "ME33741",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038516600",
"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 Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.