Individual provider Active NPI

Vlad Richko, MMS, PA-C

  • Physician Assistant
  • Winter Garden, FL
National Provider Identifier
1043788813
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9111786 Issued in FL
Practice address
3724 Winter Garden Vineland Rd BLDG 2
Winter Garden, FL 34787
Phone
(407) 440-2728
Fax
(407) 792-4152
NPI assigned
Nov 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9111786 FL Primary

Addresses

Primary practice location

3724 Winter Garden Vineland Rd BLDG 2
Winter Garden, FL 34787

Mailing address

3724 Winter Garden Vineland Rd BLDG 2
Winter Garden, FL 34787-5483
Phone (877) 977-7463

Other practice location 1

10548 DeMilo Pl Apt 102
Orlando, FL 32836-7608
Phone (786) 253-1508

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190128002314 FL Practitioner - Physician Assistant 9739426826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
The Orthopaedic Institute, PAGroup PAC ID 2860385242, 113 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

11962 County Rd
101 Suite 104
The Villages, FL 32162-9336
Phone (352) 693-3378

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

2955 Brownwood Blvd
Suite 403
The Villages, FL 32163-2040
Phone (352) 336-6000

8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9111786FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Institute, PA CurrentSince Jul 1, 2023 Accepting new patients
The Orthopaedic Institute PA CurrentSince Jul 1, 2023 Accepting new patients
American Spine & Orthopaedic Institute LLC CurrentSince Dec 11, 2018 Accepting new patients

Locations

9410 Fountain Medical Ct
Ste 201
Bonita Springs, FL 34135
Phone (239) 593-9599

5400 N Federal Hwy
Ste 102
Ft Lauderdale, FL 33308
Phone (954) 771-8772

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

146 SW Orthopedic Ct
Lake City, FL 32024
Phone (386) 755-9215

7824 Lake Underhill Rd
Ste H
Orlando, FL 32822
Phone (407) 382-6292

2955 Brownwood Blvd
Ste 403
The Villages, FL 32163
Phone (352) 674-8700

3724 Winter Garden Vineland Rd
Bldg 2
Winter Garden, FL 34787
Phone (407) 440-2728

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1043788813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 WINTER GARDEN VINELAND RD BLDG 2",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875483",
            "telephone_number": "877-977-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 WINTER GARDEN VINELAND RD BLDG 2",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-440-2728",
            "fax_number": "407-792-4152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10548 DeMilo Pl Apt 102",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328367608",
            "country_code": "US",
            "telephone_number": "786-253-1508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHKO",
        "first_name": "VLAD",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-09",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.