Individual provider Active NPI

Adalberto Alfonso, MD

  • Emergency Medicine Physician
  • Lakeland, FL
National Provider Identifier
1013271881
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME122516 Issued in FL
Practice address
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone
(863) 687-1359
Fax
(863) 284-1621
NPI assigned
Jun 27, 2012
Last updated
Jun 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME122516 FL Primary

Addresses

Primary practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Mailing address

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1359

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
I20150831001524 FL Practitioner - Emergency Medicine 9234374612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.2 of 100Reported as group
Quality
78.64
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Central Florida LLP Emergency Medicine CurrentSince Nov 1, 2018 Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients

Locations

16966 Cagan Ridge Blvd
Clermont, FL 34714
Phone (352) 536-8761

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

8011 Osceola Polk Line Rd
Davenport, FL 33896
Phone (321) 841-6308

1001 E Osceola Pkwy
Kissimmee, FL 34744
Phone (321) 842-1270

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

22316 US Highway 27
Leesburg, FL 34748
Phone (352) 241-7135

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

575 W State Road 434
Longwood, FL 32750
Phone (321) 841-4514

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

10155 Dowden Rd
Ste 301
Orlando, FL 32832

11898 Lake Underhill Rd
Orlando, FL 32825
Phone (321) 841-4540

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

1414 S Orange Ave
#112
Orlando, FL 32806
Phone (407) 767-1200

92 W Miller St
Orlando, FL 32806
Phone (321) 841-4607

2906 17th St
Saint Cloud, FL 34769
Phone (407) 425-4847

17000 Porter Rd
Winter Garden, FL 34787
Phone (321) 841-3467

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1013271881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054543",
            "telephone_number": "863-687-1359",
            "fax_number": "863-284-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054543",
            "telephone_number": "863-687-1359",
            "fax_number": "863-284-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "ADALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME122516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.