Active NPI
Debra Feliciano Padin, MD
- General Practice Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1613
- Practice address
- 309 W Bass St
Kissimmee, FL 34741-5011 - Phone
- (407) 935-1192
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN1613 | FL | Primary |
| General Practice Physician | 208D00000X | 23608 | PR |
Addresses
Primary practice location
309 W Bass St
Kissimmee, FL 34741-5011
Mailing address
815 Woodbury Rd Ste 104
Orlando, FL 32828-4515
Phone (407) 282-3344
Other practice location 1
410 Ave Hostos Ste 2
Mayaguez, PR 00682-1500
Phone (787) 652-9200
Other practice location 2
815 Woodbury Rd Ste 104
Orlando, FL 32828-4515
Phone (407) 282-3344
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
309 W Bass St
Kissimmee, FL 34741-5011
Phone (407) 935-1192
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1613 | FL | MD | General Practice Physician |
| 23608 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Sports and Family Health Center PA | Current | Accepting new patients |
Locations
309 W Bass St
Kissimmee, FL 34741
Phone (407) 935-1192
815 Woodbury Rd
Ste 104
Orlando, FL 32828
Phone (407) 282-3344
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Specialist
- Kissimmee, FL
- NPI 1972671527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1205427093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 WOODBURY RD STE 104",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328284515",
"telephone_number": "407-282-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W BASS ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415011",
"telephone_number": "407-935-1192"
}
],
"practiceLocations": [
{
"address_1": "410 Ave Hostos Ste 2",
"address_purpose": "LOCATION",
"city": "Mayaguez",
"state": "PR",
"postal_code": "006821500",
"country_code": "US",
"telephone_number": "787-652-9200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "815 Woodbury Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328284515",
"country_code": "US",
"telephone_number": "407-282-3344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FELICIANO PADIN",
"first_name": "DEBRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1613",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23608",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.