Mariselly Medina-Irizarry, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME93134 Issued in FL

Practice address

8803 Futures Dr Ste 7
Orlando, FL 32819-9076

Phone

(407) 219-5936

Fax

(407) 480-3455

NPI assigned

Jan 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine

Education

Ponce School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Pulmonary Institute, P.a.

  • Pulmonary Disease Physician
  • Orlando, FL
  • NPI 1427294974
  Medicare reassignment NPD Authorized official
• Orlando Cancer Center Inc

  • Medical Oncology Physician
  • Orlando, FL
  • NPI 1578510582
  NPD (past)
• Orlando Pulmonary and Critical Care Associates Inc

  • Critical Care Certified Respiratory Therapist
  • Orlando, FL
  • NPI 1922288315

  Pulmonary Disease

  NPD (past)
• Pulmonary Practice of Orlando, P.a

  • Pulmonary Disease Physician
  • Orlando, FL
  • NPI 1902004161
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1144209669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 FUTURES DR STE 7",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199076",
            "telephone_number": "407-219-5936",
            "fax_number": "407-480-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 FUTURES DR STE 7",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199076",
            "telephone_number": "407-219-5936",
            "fax_number": "407-480-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA-IRIZARRY",
        "first_name": "MARISELLY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME93134",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME93134",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME93134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "U5089W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yamille Medina Ramos
• Vanessa Ivelisse Medina Roman, ARNP, FNP-BC
• Nidia E Medina Ruiz, PHD
• Valeria Sofia Medina Sanchez
• Sulady Marie Medina Vargas
• Carlos Medina, DMD
• Cyd Marie Medina
• Dalila Medina
• Damaris Nohemi Medina
• David Antonio Medina, M.D.

• Pulmonary Disease Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.

Verify at the official NPI Registry.