Active NPI
Jillian M Hundley, MD
- Pediatrics Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME124129
- Practice address
- 86 W Underwood St Ste 202
Orlando, FL 32806-1110 - Phone
- (407) 649-6876
- Fax
- (407) 872-0544
- NPI assigned
- Jun 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | ME124129 | FL | Primary |
Addresses
Primary practice location
86 W Underwood St Ste 202
Orlando, FL 32806-1110
Mailing address
5018 Dr Phillips Blvd
Orlando, FL 32819-3310
Phone (407) 649-6876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Howard University College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME124129 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Florida Emergency Physicians Kang and Associates MD LLC | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Pediatrics | Past | Accepting new patients |
Locations
1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
1270 N Wickham Rd
Ste 50
Melbourne, FL 32935
Phone (321) 421-7588
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
5018 Dr Phillips Blvd
Orlando, FL 32819
Phone (407) 273-4132
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
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 and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1225399728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5018 DR PHILLIPS BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328193310",
"telephone_number": "407-649-6876",
"fax_number": "407-872-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 W UNDERWOOD ST STE 202",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061110",
"telephone_number": "407-649-6876",
"fax_number": "407-872-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNDLEY",
"first_name": "JILLIAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-01",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME124129",
"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 Aug 11, 2016; 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.