Individual provider Active NPI

Amelia Bianca Thompson, M.D.

  • Pediatric Infectious Diseases Physician
  • Orlando, FL
National Provider Identifier
1134418726
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
ME144340 Issued in FL
Practice address
615 E Princeton St Ste 401
Orlando, FL 32803-1469
Phone
(407) 303-9194
Fax
(407) 303-9273
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 2017-00836 NC
Pediatric Infectious Diseases Physician 2080P0208X ME144340 FL Primary

Addresses

Primary practice location

615 E Princeton St Ste 401
Orlando, FL 32803-1469

Mailing address

615 E Princeton St Ste 401
Orlando, FL 32803-1469
Phone (407) 303-9194

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
I20200629003942 FL Practitioner - Pediatric MedicinePractitioner - Infectious Disease 1153750989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Infectious Disease
Education
Icahn School of Medicine at Mount Sinai, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

615 E Princeton St
Orlando, FL 32803-1469

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-00836NCMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Aug 17, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 17, 2020 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2501 N Orange Ave
Ste 200
Orlando, FL 32804
Phone (407) 303-7265

615 E Princeton St
Ste 401
Orlando, FL 32803
Phone (407) 303-9311

3100 E Fletcher Ave
Ste 126
Tampa, FL 33613
Phone (813) 467-4242

Interoperability endpoints

  • Direct secure messaging: athompson73945@adventhealth.direct-ci.com

Organizations & group practices 2

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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1134418726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 401",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031469",
            "telephone_number": "407-303-9194",
            "fax_number": "407-303-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 401",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031469",
            "telephone_number": "407-303-9194",
            "fax_number": "407-303-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "AMELIA",
        "middle_name": "BIANCA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NC",
            "license": "2017-00836",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "FL",
            "license": "ME144340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.