Individual provider Active NPI

Radu Clincea, M.D.

  • Infectious Disease Physician
  • Kissimmee, FL
National Provider Identifier
1144272295
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME123878 Issued in FL
Practice address
1875 Fortune Rd
Kissimmee, FL 34744-4428
Phone
(407) 343-2000
Fax
(407) 343-2002
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 20951 SC
Infectious Disease Physician 207RI0200X ME123878 FL Primary

Addresses

Primary practice location

1875 Fortune Rd
Kissimmee, FL 34744-4428

Mailing address

2672 Aloma Oaks Dr
Oviedo, FL 32765-9159
Phone (407) 359-7389

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
I20150901001693 FL Practitioner - Infectious Disease 4385870385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

1875 Fortune Rd
Kissimmee, FL 34744-4428
Phone (407) 343-2000

1900 27TH St
Vero Beach, FL 32960-3383
Phone (772) 794-7461

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME123878FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Aug 14, 2015 Accepting new patients
Florida Department of Health CurrentSince Aug 14, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Florida Department of Health Past Accepting new patients

Locations

1875 Fortune Rd
Kissimmee, FL 34744
Phone (407) 343-2000

1900 27th St
Vero Beach, FL 32960
Phone (772) 794-7400

Organizations & group practices 5

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1144272295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672 ALOMA OAKS DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659159",
            "telephone_number": "407-359-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 FORTUNE RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444428",
            "telephone_number": "407-343-2000",
            "fax_number": "407-343-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINCEA",
        "first_name": "RADU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "SC",
            "license": "20951",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME123878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.