NPIMap

Individual provider Active NPI

Eduardo C Pigtain, M.D.

  • Family Medicine Physician
  • Saint Cloud, FL
National Provider Identifier
1144469107
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME103426 Issued in FL
Practice address
1222 10TH St
Saint Cloud, FL 34769-3343
Phone
(407) 666-1116
NPI assigned
Feb 16, 2009
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME103426 FL Primary
Internal Medicine Physician 207R00000X ME 103426 FL

Addresses

Primary practice location

1222 10TH St
Saint Cloud, FL 34769-3343

Mailing address

1222 10TH St
Saint Cloud, FL 34769-3343
Phone (407) 593-0323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091209000724 FL Practitioner - Internal Medicine 3274672951 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cloud Care LLCGroup PAC ID 8729370184, 6 clinicians

Practice addresses (Care Compare)

1222 10TH St
Saint Cloud, FL 34769-3343
Phone (407) 593-0323

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME103426FLMDFamily Medicine Physician
ME 103426FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ernest Chung MD & Associates PA CurrentSince Jan 1, 2016 Accepting new patients
Cloud Care LLC Family Medicine CurrentSince Aug 12, 2015 Accepting new patients
Central Florida Inpatient Medicine LLC Internal Medicine CurrentSince Nov 6, 2017 Accepting new patients
Infectious Disease Specialists of Central Florida , PA PastSince Dec 1, 2004 Accepting new patients
Lawrence Usher DO PC Family Medicine Past Accepting new patients
Privia Medical Group Florida, LLC Internal Medicine PastSince Jan 1, 2025 Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients

Locations

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone (321) 732-5617

1222 10th St
Saint Cloud, FL 34769
Phone (407) 593-0323

2920 17th St
Saint Cloud, FL 34769
Phone (321) 284-3723

3008 17th St
Saint Cloud, FL 34769
Phone (407) 892-5856

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1144469107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 10TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347693343",
            "telephone_number": "407-593-0323",
            "fax_number": "407-480-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 10TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347693343",
            "telephone_number": "407-666-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGTAIN",
        "first_name": "EDUARDO",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-16",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME103426",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 103426",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.