Individual provider Active NPI

Arthur Joseph Debaise, MD

  • Plastic Surgery Physician
  • Orlando, FL
National Provider Identifier
1235276056
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME 57231 Issued in FL
Practice address
2501 N Orange Ave
Suite 411
Orlando, FL 32803-4644
Phone
(407) 478-0517
Fax
(407) 646-7370
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME 57231 FL Primary

Addresses

Primary practice location

2501 N Orange Ave
Suite 411
Orlando, FL 32803-4644

Mailing address

2501 N Orange Ave
Suite 411
Orlando, FL 32803-4644
Phone (407) 478-0517

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
I20090610000465 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Dermatology 3173601846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Dermatology
Education
Rutgers New Jersey Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

320 Edinburgh Dr
Suite a
Winter Park, FL 32792-4157
Phone (407) 539-3455

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 57231FLMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jan 1, 2014 Accepting new patients
Arthur J Debaise MD PA CurrentSince Mar 6, 2009 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 1, 2014 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2501 N Orange Ave
Ste 411
Orlando, FL 32804
Phone (407) 303-1373

320 N Edinburgh Dr
Ste A
Winter Park, FL 32792
Phone (407) 539-3455

242 Loch Lomond Dr
Winter Park, FL 32792
Phone (407) 599-9705

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: adebaise146102@adventhealth.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1235276056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE",
            "address_2": "SUITE 411",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034644",
            "telephone_number": "407-478-0517",
            "fax_number": "407-646-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE",
            "address_2": "SUITE 411",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034644",
            "telephone_number": "407-478-0517",
            "fax_number": "407-646-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBAISE",
        "first_name": "ARTHUR",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME 57231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.