Individual provider Active NPI

Rolando Amadeo, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Maitland, FL
National Provider Identifier
1013910314
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME0077114 Issued in FL
Practice address
668 N Orlando Ave
Suite 1005
Maitland, FL 32751-4473
Phone
(407) 740-8848
Fax
(407) 740-0324
NPI assigned
May 31, 2005
Last updated
Jul 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME0077114 FL Primary

Addresses

Primary practice location

668 N Orlando Ave
Suite 1005
Maitland, FL 32751-4473

Mailing address

668 N Orlando Ave
Suite 1005
Maitland, FL 32751-4473
Phone (407) 740-8848

Other identifiers 6

IdentifierTypeStateIssuer
032763OtherFLNEIGHBORHOOD HEALTH
2351409OtherFLAETNA HMO
269835OtherFLAVMED
2332362OtherFLAETNA PPO
46242OtherFLBCBS
5035771001OtherFLCIGNA

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
I20091012000174 FL Practitioner - Physical Medicine and Rehabilitation 3779629498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2014 S Orange Ave
Suite 200B
Orlando, FL 32806-3069
Phone (407) 273-3100

668 N Orlando Ave
Suite 1010
Maitland, FL 32751-4460
Phone (407) 644-0101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0077114FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Diagnostic Specialist, LLC CurrentSince Jan 23, 2012 Accepting new patients
Rolando Amadeo Mdpa CurrentSince Oct 7, 2009 Accepting new patients
MD Diagnostic Specialist, Inc Past Accepting new patients

Locations

668 N Orlando Ave
Ste 1005
Maitland, FL 32751
Phone (407) 644-0101

668 N Orlando Ave
Ste 1010
Maitland, FL 32751
Phone (407) 278-2424

Organizations & group practices 3

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1013910314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N ORLANDO AVE",
            "address_2": "SUITE 1005",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514473",
            "telephone_number": "407-740-8848",
            "fax_number": "407-740-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 N ORLANDO AVE",
            "address_2": "SUITE 1005",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514473",
            "telephone_number": "407-740-8848",
            "fax_number": "407-740-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADEO",
        "first_name": "ROLANDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME0077114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "032763",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2351409",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "269835",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "2332362",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46242",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5035771001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.