Individual provider Active NPI

Tiffany Cross, DO

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1114424827
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS18048 Issued in FL
Practice address
4137 Hunters Park LN
Orlando, FL 32837-7669
Phone
(407) 304-1710
Fax
(407) 304-1755
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 OS18048 FL Primary

Addresses

Primary practice location

4137 Hunters Park LN
Orlando, FL 32837-7669

Mailing address

4137 Hunters Park LN
Orlando, FL 32837-7669
Phone (407) 304-1710

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
I20211122000022 FL Practitioner - Family Practice 7416208251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

4137 Hunters Park LN
Orlando, FL 32837-7669
Phone (407) 304-1710

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc Family Medicine CurrentSince Nov 11, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2021 Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

4137 Hunters Park Ln
Orlando, FL 32837
Phone (407) 304-1710

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

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 4

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1114424827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 HUNTERS PARK LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377669",
            "telephone_number": "407-304-1710",
            "fax_number": "407-304-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 HUNTERS PARK LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377669",
            "telephone_number": "407-304-1710",
            "fax_number": "407-304-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "TIFFANY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS18048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.