PREMCARE FAMILY MEDICAL CENTER
NPI 1730107780
Specialist in Orlando, FL

Active since July 18, 2006CLIA 10D0275601 · Waiver
4501 S SEMORAN BLVD, ORLANDO, FL 32822(407) 380-1428(407) 380-0754 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Premcare Family Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMCARE FAMILY MEDICAL CENTER (NPI 1730107780) is a healthcare organization registered as a specialist in Orlando, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Muhammad A Awan, Medicine Doctor, as its authorized official.

NPPES Registry Identity

NPI1730107780
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePREMCARE FAMILY MEDICAL CENTER
Location Address4501 S SEMORAN BLVDOrlando, FL 32822-2407
Mailing Address4501 S Semoran BlvdOrlando, FL 32822-2407 · (407) 380-1428 · Fax (407) 380-0754
Fax(407) 380-0754
Organization SubpartNo
Authorized OfficialMuhammad A AwanMedicine Doctor · (407) 380-1428
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1730107780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0068874
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4501 S SEMORAN BLVD, Orlando, FL 32822

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premcare Family Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20120223000298Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Premcare Family Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1518043108
4501 S SEMORAN BLVD
Orlando, FL 32822
(407) 380-1428
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1750462594
4501 S SEMORAN BLVD
Orlando, FL 32822
(407) 380-1428
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0275601

Premcare Family Medical Center · Orlando, FL
Active · expires May 8, 2028
CLIA Number10D0275601
Laboratory TypePractitioner Other
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorM Awan
Laboratory Phone(407) 380-1428
Laboratory LocationPremcare Family Medical Center4501 S Semoran Blvd, Orlando, FL 32822
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premcare Family Medical Center's NPI number?

The NPI number for Premcare Family Medical Center is 1730107780. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Premcare Family Medical Center located?

Premcare Family Medical Center is located at 4501 S Semoran Blvd, Orlando, FL 32822. The listed phone number is (407) 380-1428.

What is Premcare Family Medical Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Premcare Family Medical Center enrolled in Medicare?

Yes. Premcare Family Medical Center is registered in the Medicare PECOS enrollment system.

When is Premcare Family Medical Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Premcare Family Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Premcare Family Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premcare Family Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0275601) is associated with this NPI, valid through May 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premcare Family Medical Center accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Premcare Family Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premcare Family Medical Center was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.