Active NPI
Kayo Henrique Fernandes E Magalhaes Santos
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1194351197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME160443
- Practice address
- 4445 S Semoran Blvd Ste a
Orlando, FL 32822-2472 - Phone
- (407) 203-8957
- NPI assigned
- Mar 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME160443 | FL | Primary |
Addresses
Primary practice location
4445 S Semoran Blvd Ste a
Orlando, FL 32822-2472
Mailing address
4445 S Semoran Blvd Ste a
Orlando, FL 32822-2472
Phone (407) 203-8957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME160443 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassion Pediatrics LLC | Pediatrics | Current | Accepting new patients |
Locations
4445 S Semoran Blvd
Ste A
Orlando, FL 32822
Phone (407) 203-8957
Interoperability endpoints
- https://api.platform.athenahealth.com/19494/brand/1/csg/1/fhir/r4
- kayo.henrique.fernandes.e.magalhaes.santos.1@19494.direct.athenahealth.com
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.
-
- Pediatrics Physician
- Orlando, FL
- NPI 1194066761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1194351197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4445 S SEMORAN BLVD STE A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328222472",
"telephone_number": "407-203-8957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 S SEMORAN BLVD STE A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328222472",
"telephone_number": "407-203-8957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDES E MAGALHAES SANTOS",
"first_name": "KAYO HENRIQUE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-21",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME160443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.