Active NPI
Abaynesh Haftu Nigussie, M.D.
- Emergency Medicine Physician
- Maitland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME176396
- Practice address
- 500 Winderley PL Ste 115
Maitland, FL 32751-7406 - Phone
- (332) 262-1421
- NPI assigned
- Apr 22, 2022
- Reactivated
- May 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME176396 | FL | Primary |
Addresses
Primary practice location
500 Winderley PL Ste 115
Maitland, FL 32751-7406
Mailing address
500 Winderley PL Ste 115
Maitland, FL 32751-7406
Phone (407) 303-2200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
Hospital & facility affiliations
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Emergency Physicians Kang and Associates MD LLC | Emergency Medicine | Current | Accepting new patients |
| Observation Medicine Specialists LLC | Past | Accepting new patients |
Locations
1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 2
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Internal Medicine Physician
- Maitland, FL
- NPI 1134596893
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1982348348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WINDERLEY PL STE 115",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517406",
"telephone_number": "407-303-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WINDERLEY PL STE 115",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517406",
"telephone_number": "332-262-1421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIGUSSIE",
"first_name": "ABAYNESH HAFTU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-22",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"deactivation_date": "2023-01-23",
"reactivation_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME176396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.