Organization Active NPI

Janovitz Parrillo Delgado & Shah MD PA

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1013967306
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JANOVITZ PARRILLO DELGADO & SHAH MD PA
Practice address
2863 S Delaney Ave
Orlando, FL 32806-5412
Phone
(407) 843-1620
Fax
(407) 843-5243
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Kim Fraticelli
Title
Practice Administrator
Phone
(407) 992-7740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2863 S Delaney Ave
Orlando, FL 32806-5412

Mailing address

2863 Delaney Ave
Orlando, FL 32806-5412
Phone (407) 843-1620

Other identifiers 1

IdentifierTypeStateIssuer
38240OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Family Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061011000551 FL Part B Supplier - Clinic/Group Practice 1456357664 Receives reassigned benefits from 13 practitioners
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0275148Family Medical Center2863 S Delaney Ave, Orlando, FL 32806AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

2859 Delaney Ave
Orlando, FL 32806
Phone (407) 843-1620

2800 S Osceola Ave
Orlando, FL 32806
Phone (407) 839-3834

2868 S Osceola Ave
Orlando, FL 32806
Phone (407) 843-1620

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1013967306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 DELANEY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065412",
            "telephone_number": "407-843-1620",
            "fax_number": "407-843-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 S DELANEY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065412",
            "telephone_number": "407-843-1620",
            "fax_number": "407-843-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANOVITZ PARRILLO DELGADO & SHAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "FRATICELLI",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "407-992-7740"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "38240",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.