Active NPI
Carlos A Archilla, MD
- Anesthesiology Physician
- Orlando, FL
National Provider Identifier
1003925868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME78138
- Practice address
- 13535 Nemours Pkwy
Orlando, FL 32827-7402 - Phone
- (407) 650-7715
- Fax
- (407) 650-7724
- NPI assigned
- Aug 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME78138 | FL | Primary |
| Pediatric Anesthesiology Physician | 207LP3000X | ME78138 | FL |
Addresses
Primary practice location
13535 Nemours Pkwy
Orlando, FL 32827-7402
Mailing address
1717 S Orange Ave
Ste 100
Orlando, FL 32806-2944
Phone (407) 650-7715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256508100 | Medicaid | FL | |
| 46779Y | Other | MEDICARE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME78138 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Anesthesia & Pain Medicine PA | Past | Accepting new patients | |
| Anesthesia Associates P.a. | Anesthesiology | Past | Accepting new patients |
| Orlando Health Inc | Past | Accepting new patients | |
| Orlando Health Inc | Pediatric Anesthesiology | Past | Accepting new patients |
Locations
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100
6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000
1717 S Orange Ave
Ste 100
Orlando, FL 32806
Interoperability endpoints
- carchilla3276@direct.nemours.org
- https://api.platform.athenahealth.com/1698/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
- Pain Medicine (Anesthesiology) Physician
- West Palm Beach, FL
- NPI 1669438693
-
- Anesthesiology Physician
- Boynton Beach, FL
- NPI 1114965506
-
- Pediatric Anesthesiology Physician
- Orlando, FL
- NPI 1457489767
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1487691259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1003925868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 S ORANGE AVE",
"address_2": "STE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062944",
"telephone_number": "407-650-7715",
"fax_number": "407-650-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13535 NEMOURS PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277402",
"telephone_number": "407-650-7715",
"fax_number": "407-650-7724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHILLA",
"first_name": "CARLOS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME78138",
"primary": true
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "FL",
"license": "ME78138",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "256508100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "46779Y",
"state": null
}
],
"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 12, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.