Individual provider Active NPI

Sadi A Abusrur, M.D.

  • Anesthesiology Physician
  • Orlando, FL
National Provider Identifier
1912095258
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME33741 Issued in FL
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
038516600MedicaidFL

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

LicenseStateTypeSpecialty
ME33741FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.