Individual provider Active NPI

Patrick C. Fattouch, MD

  • Anesthesiology Physician
  • Maitland, FL
National Provider Identifier
1013247626
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME119553 Issued in FL
Practice address
500 Winderley PL Ste 115
Maitland, FL 32751-7406
Phone
(407) 581-9180
Fax
(865) 560-7066
NPI assigned
Jan 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301096370 MI
Anesthesiology Physician 207L00000X ME119553 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) 581-9180

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
I20140610000894 FL Practitioner - Anesthesiology 8325262553 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Anesthesiologists of Greater Orlando IncGroup PAC ID 7416928536, 339 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

3198 N Park Rd
204 BMG Neurology at SFB
Plant City, FL 33563-2026
Phone (813) 757-8080

83 W Miller St
Orlando, FL 32806-2031
Phone (954) 939-5000

9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (954) 939-5000

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • South Florida Baptist Hospital Hospital, Plant City, FL, CCN 100132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME119553FLMDAnesthesiology Physician
4301096370MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parrish Anesthesia Specialist, LLC Anesthesiology CurrentSince Aug 16, 2023 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Office Anesthesia Staffing Anesthesiology CurrentSince Oct 9, 2025 Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiology CurrentSince Jun 11, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Sep 1, 2015 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Sep 1, 2015 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Oct 16, 2025 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiology CurrentSince Jun 11, 2021 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Oct 11, 2025 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Mar 1, 2025 Accepting new patients

Locations (25 of 28)

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

1109 US Highway 19
Holiday, FL 34691
Phone (727) 934-5705

2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

120 E Par St
Ste 2000
Orlando, FL 32804
Phone (407) 843-5665

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

22 Underwood St
Orlando, FL 32806
Phone (321) 841-6263

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

1325 Belcher Rd
Palm Harbor, FL 34683
Phone (816) 500-0021

960 7th Ave N
St Petersburg, FL 33705
Phone (727) 821-8101

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1013247626",
    "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": "407-581-9180",
            "fax_number": "865-560-7066"
        },
        {
            "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": "407-581-9180",
            "fax_number": "865-560-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTOUCH",
        "first_name": "PATRICK",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301096370",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME119553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.