Individual provider Active NPI

Mildred Donis Silva, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1093735615
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0055637 Issued in FL
Practice address
11616 Lake Underhill Rd
Suite 205
Orlando, FL 32825-4463
Phone
(407) 273-7399
Fax
(407) 273-1928
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0055637 FL Primary

Addresses

Primary practice location

11616 Lake Underhill Rd
Suite 205
Orlando, FL 32825-4463

Mailing address

6000 Turkey Lake Rd Ste 208
Orlando, FL 32819-4206
Phone (407) 648-5252

Other identifiers 2

IdentifierTypeStateIssuer
063128100MedicaidFL
14373OtherFLBLUECROSS BLUE SHIELD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000792 FL Practitioner - Radiation Oncology 7517946197 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0055637FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magic Medical Group Inc. Family Medicine CurrentSince Oct 9, 2020 Accepting new patients
Professionals Caring for Humanity Inc CurrentSince Oct 9, 2020 Accepting new patients
Eastcoast Medical Network Inc Family Medicine CurrentSince Jun 25, 2024 Accepting new patients

Locations

4401 Vineland Rd
Ste A9
Orlando, FL 32811
Phone (407) 657-0739

9421 S Orange Blossom Trl
Ste 19
Orlando, FL 32837
Phone (407) 601-2527

6000 Turkey Lake Rd
Ste 208
Orlando, FL 32819
Phone (407) 648-5252

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1093735615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 TURKEY LAKE RD STE 208",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194206",
            "telephone_number": "407-648-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11616 LAKE UNDERHILL RD",
            "address_2": "SUITE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254463",
            "telephone_number": "407-273-7399",
            "fax_number": "407-273-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "MILDRED",
        "middle_name": "DONIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0055637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063128100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "14373",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.