Individual provider Active NPI

Paolina Pantcheva, M.D.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Kissimmee, FL
National Provider Identifier
1043743826
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
ME138447 Issued in FL
Practice address
201 Hilda St Ste 12
Kissimmee, FL 34741-2359
Phone
(407) 933-6626
Fax
(407) 933-6628
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A169284 CA
Student in an Organized Health Care Education/Training Program 390200000X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X ME138447 FL Primary

Addresses

Primary practice location

201 Hilda St Ste 12
Kissimmee, FL 34741-2359

Mailing address

201 Hilda St Ste 12
Kissimmee, FL 34741-2359
Phone (407) 933-6626

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916000419 FL Practitioner - Undersea and Hyperbaric Medicine 8325466535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric Medicine
Education
University of South Florida College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Sep 27, 2021 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 27, 2021 Accepting new patients

Locations

201 Hilda St
Ste 12
Kissimmee, FL 34741
Phone (407) 933-6626

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ppantcheva144574@adventhealth.direct-ci.com

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 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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1043743826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HILDA ST STE 12",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412359",
            "telephone_number": "407-933-6626",
            "fax_number": "407-933-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HILDA ST STE 12",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412359",
            "telephone_number": "407-933-6626",
            "fax_number": "407-933-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTCHEVA",
        "first_name": "PAOLINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A169284",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME138447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.