NPIMap

Organization Active NPI

Orlando Heart & Vascular Center LLC

Doing business as Orlando Primary Medicine

  • Interventional Cardiology Physician
  • Orlando, FL
National Provider Identifier
1033230347
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME85171 Issued in FL
Legal business name
ORLANDO HEART & VASCULAR CENTER LLC
Doing business as
Orlando Primary Medicine
Practice address
11616 Lake Underhill Rd Ste 215
Orlando, FL 32825-4465
Phone
(407) 482-7788
Fax
(407) 482-8698
NPI assigned
Apr 3, 2007
Last updated
Apr 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Vineel Sompalli, MDNPI 1588623334
Title
President
Phone
(407) 482-7788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Cardiovascular Disease Physician 207RC0000X ME85171 FL
Clinical Cardiac Electrophysiology Physician 207RC0001X ME105350 FL
Interventional Cardiology Physician 207RI0011X ME85171 FL Primary

Addresses

Primary practice location

11616 Lake Underhill Rd Ste 215
Orlando, FL 32825-4465

Mailing address

11616 Lake Underhill Rd
Orlando, FL 32825-4463
Phone (407) 482-7788

Other practice location 1

11616 Lake Underhill Rd Ste 205
Orlando, FL 32825-4466
Phone (407) 601-5308

Other practice location 2

1780 N Mills Ave
Orlando, FL 32803-1852
Phone (407) 482-7788

Other names 1

  • Orlando Primary Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070824000480 FL Part B Supplier - Clinic/Group Practice 6800988619 Receives reassigned benefits from 14 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

11317 Lake Underhill Rd
Ste 600
Orlando, FL 32825
Phone (407) 641-0426

11616 Lake Underhill Rd
Orlando, FL 32825

2501 N Orange Ave
Ste 137
Orlando, FL 32804
Phone (407) 303-7390

7780 Lake Underhill Rd
Ste 110
Orlando, FL 32822

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1033230347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11616 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254463",
            "telephone_number": "407-482-7788",
            "fax_number": "407-482-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11616 LAKE UNDERHILL RD STE 215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254465",
            "telephone_number": "407-482-7788",
            "fax_number": "407-482-8698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11616 Lake Underhill Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328254466",
            "country_code": "US",
            "telephone_number": "407-601-5308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1780 N Mills Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031852",
            "country_code": "US",
            "telephone_number": "407-482-7788",
            "fax_number": "407-482-8698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORLANDO HEART & VASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "SOMPALLI",
        "authorized_official_first_name": "VINEEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-482-7788",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME85171",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME105350",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME85171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orlando Primary Medicine",
            "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 Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.