Organization Active NPI

Neurological Health Associates

  • Neurology Physician
  • Kissimmee, FL
National Provider Identifier
1083874358
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME95934 Issued in FL
Legal business name
NEUROLOGICAL HEALTH ASSOCIATES
Practice address
1114 Cypress Glen Circle
Kissimmee, FL 34741
Phone
(407) 581-8640
Fax
(407) 581-8659
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Mr. Michael Markowski
Title
Billing
Phone
(407) 581-8640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME95934 FL Primary

Addresses

Primary practice location

1114 Cypress Glen Circle
Kissimmee, FL 34741

Mailing address

6735 Conroy Rd Suite 229
Orlando, FL 32835
Phone (407) 581-8640

Other identifiers 1

IdentifierTypeStateIssuer
276495400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080925000520 FL Part B Supplier - Clinic/Group Practice 4688741101 Receives reassigned benefits from 1 practitioner
Practice locations: Kissimmee, FL; Orlando, FL

National Provider Directory

National Provider Directory
Tax ID family
Neurological Health Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1114 Cypress Glen Cir
Kissimmee, FL 34741
Phone (407) 581-8640

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1083874358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 CONROY RD SUITE 229",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32835",
            "telephone_number": "407-581-8640",
            "fax_number": "407-581-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 CYPRESS GLEN CIRCLE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-581-8640",
            "fax_number": "407-581-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "MARKOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "407-581-8640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME95934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276495400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.