Individual provider Active NPI

Amarilys Colon Tirado, M.D.

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1205804259
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN867 Issued in FL
Practice address
5979 Vineland Rd Ste 209
Orlando, FL 32819-7855
Phone
(407) 250-5030
Fax
(407) 250-5043
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14341 PR
General Practice Physician 208D00000X ACN867 FL Primary

Addresses

Primary practice location

5979 Vineland Rd Ste 209
Orlando, FL 32819-7855

Mailing address

PO Box 470159
Celebration, FL 34747-0159
Phone (787) 462-3807

Other identifiers 2

IdentifierTypeStateIssuer
14341OtherPRPR LICENSE
ACN867OtherFLFL MEDICAL LICENSE

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
I20170529000037 FL Practitioner - General Practice 5597730010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5979 Vineland Rd
Suite 209
Orlando, FL 32819-7800

5979 Vineland Rd
Suite 209
Orlando, FL 32819-7855
Phone (407) 250-5030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15245PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vida Health Centre LLC General Practice CurrentSince Apr 11, 2023 Accepting new patients
Florida Medical Associates LLC CurrentSince Jan 20, 2020 Accepting new patients
Medical Home Alliance LLC PastSince May 1, 2017 Accepting new patients
Migrant Health Center, Inc. Past Accepting new patients

Locations

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

5979 Vineland Rd
Ste 209
Orlando, FL 32819
Phone (407) 250-5030

521 13th St
Saint Cloud, FL 34769
Phone (407) 556-6222

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJAADD/Endpoint/IJAADD

Organizations & group practices 4

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1205804259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470159",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347470159",
            "telephone_number": "787-462-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD STE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197855",
            "telephone_number": "407-250-5030",
            "fax_number": "407-250-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON TIRADO",
        "first_name": "AMARILYS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14341",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR LICENSE",
            "identifier": "14341",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAL LICENSE",
            "identifier": "ACN867",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.