Active NPI
Sandra Liliana Pedraza Cardozo, M.D.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- ME169606
- Practice address
- 2501 N Orange Ave Ste 235
Orlando, FL 32804-4659 - Phone
- (407) 303-2906
- Fax
- (407) 303-2553
- NPI assigned
- Aug 5, 2007
- Last updated
- Sep 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | D88226 | MD | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | D88226 | MD | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | ME169606 | FL | Primary |
Addresses
Primary practice location
2501 N Orange Ave Ste 235
Orlando, FL 32804-4659
Mailing address
2501 N Orange Ave Ste 235
Orlando, FL 32804-4659
Phone (407) 303-2906
Other practice location 1
5255 Loughboro Rd NW Bldg B
Washington, DC 20016-2633
Phone (202) 660-7834
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | OH | |
| 4653868780 | Other | MYUTMB 4653868780 | |
| 3810024568 | Medicaid | WV | |
| D88226 | Other | MD | LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 N Orange Ave
Orlando, FL 32804-4641
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
2501 N Orange Ave
Ste 235
Orlando, FL 32804
Phone (407) 303-1967
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- spedraza104830@direct.virginiahospitalcenter.net
- spedrazacardozo3741658@adventhealth.direct-ci.com
- spedrazacardozo558837@direct.hopkinsmedicine.org
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1053502245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE STE 235",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044659",
"telephone_number": "407-303-2906",
"fax_number": "407-303-2553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE STE 235",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044659",
"telephone_number": "407-303-2906",
"fax_number": "407-303-2553"
}
],
"practiceLocations": [
{
"address_1": "5255 Loughboro Rd NW Bldg B",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200162633",
"country_code": "US",
"telephone_number": "202-660-7834",
"fax_number": "202-243-5271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEDRAZA CARDOZO",
"first_name": "SANDRA",
"middle_name": "LILIANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MD",
"license": "D88226",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "MD",
"license": "D88226",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME169606",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MYUTMB 4653868780",
"identifier": "4653868780",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810024568",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "D88226",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.