Individual provider Active NPI

Monica Lynn McPhail-Pruitt, MD

  • Pain Medicine (Anesthesiology) Physician
  • Orlando, FL
National Provider Identifier
1144292913
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME88069 Issued in FL
Practice address
6903 W Colonial Dr
Orlando, FL 32818-6829
Phone
(407) 298-9900
Fax
(407) 298-9920
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME88069 FL Primary

Addresses

Primary practice location

6903 W Colonial Dr
Orlando, FL 32818-6829

Mailing address

2401 Frist Blvd
#7, 9 & 10
Fort Pierce, FL 34950-4800
Phone (772) 466-0088

Other identifiers 1

IdentifierTypeStateIssuer
267728800MedicaidFL

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
I20040302001023 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 8123915303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Northwestern University Feinberg Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedics and Pain Management, P.L.Group PAC ID 6002985207, 6 clinicians

Practice addresses (Care Compare)

499 E Central Pkwy
Suite 130
Altamonte Springs, FL 32701-3449
Phone (407) 960-1717

National Provider Directory

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

Organizations & group practices 1

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1144292913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 FRIST BLVD",
            "address_2": "#7, 9 & 10",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504800",
            "telephone_number": "772-466-0088",
            "fax_number": "772-460-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6903 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186829",
            "telephone_number": "407-298-9900",
            "fax_number": "407-298-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHAIL-PRUITT",
        "first_name": "MONICA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME88069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267728800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.