Individual provider Active NPI

Andreina Padron, MD

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1215603501
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1635 Issued in FL
Practice address
8958 Conroy Windermere Rd
Orlando, FL 32835-3128
Phone
(352) 259-2159
Fax
(352) 259-5731
NPI assigned
Aug 18, 2021
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 15927-I
General Practice Physician 208D00000X ACN1635 FL Primary

Addresses

Primary practice location

8958 Conroy Windermere Rd
Orlando, FL 32835-3128

Mailing address

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

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
I20240723003439 FL Practitioner - General Practice 7810433133 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Medical Associates of Florida Healthcare, PAGroup PAC ID 6800200940, 64 clinicians

Practice addresses (Care Compare)

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Jul 11, 2024 Accepting new patients
Premier Medical Associates All Florida, LLC CurrentSince Jul 11, 2024 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Jul 11, 2024 Accepting new patients
Premier Specialty Care LLC CurrentSince Apr 1, 2026 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Jul 11, 2024 Accepting new patients

Locations

15701 Highway 50
Clermont, FL 34711

15701 Highway 50
Ste 201
Clermont, FL 34711

15701 State Road 50
Ste 101
Clermont, FL 34711
Phone (352) 394-7757

15701 State Road 50
Ste AND201
Clermont, FL 34711

25327 US Highway 27
Ste 204
Leesburg, FL 34748
Phone (352) 561-3222

1277 N Semoran Blvd
Ste 102
Orlando, FL 32807

8958 Conroy Windermere Rd
Orlando, FL 32835
Phone (321) 430-1265

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1215603501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827",
            "telephone_number": "352-259-2159",
            "fax_number": "352-259-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8958 CONROY WINDERMERE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353128",
            "telephone_number": "352-259-2159",
            "fax_number": "352-259-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON",
        "first_name": "ANDREINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "15927-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.