Individual provider Active NPI

Amir Hadanny, MD PHD

  • Neurological Surgery Physician
  • Winter Garden, FL
National Provider Identifier
1912522202
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
302918-01 Issued in NY
Practice address
998 Lake Brim Dr
Winter Garden, FL 34787-3023
Phone
(518) 801-8712
NPI assigned
Jun 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME154386 FL
Neurological Surgery Physician 207T00000X 302918-01 NY Primary

Addresses

Primary practice location

998 Lake Brim Dr
Winter Garden, FL 34787-3023

Mailing address

998 Lake Brim Dr
Winter Garden, FL 34787-3023
Phone (518) 801-8712

Other practice location 1

2955 Brownwood Blvd Ste 100
The Villages, FL 32163-2040
Phone (518) 801-8712

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
I20250626000503 FL Practitioner - General Practice 4385156140 Reassigns benefits to 1 organization
Practice locations: Winter Garden, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
302918-01NYMDNeurological Surgery Physician
ME154386FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aviv Villages LLC CurrentSince Dec 29, 2025 Accepting new patients

Locations

2955 Brownwood Blvd
Ste 100
The Villages, FL 32163
Phone (352) 488-2848

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1912522202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 LAKE BRIM DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873023",
            "telephone_number": "518-801-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 LAKE BRIM DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873023",
            "telephone_number": "518-801-8712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2955 Brownwood Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321632040",
            "country_code": "US",
            "telephone_number": "518-801-8712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADANNY",
        "first_name": "AMIR",
        "name_prefix": "Mr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME154386",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "302918-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.