NPIMap

Organization Active NPI

Orlando Health Star Clinic LLC

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1245919299
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ORLANDO HEALTH STAR CLINIC LLC
Practice address
1224 Sligh Blvd Ste a
Orlando, FL 32806-1108
Phone
(321) 841-3581
Fax
(321) 841-4085
NPI assigned
Jul 17, 2023
Last updated
Jul 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Michele Napier
Title
VP, Revenue Management & Cro
Phone
(321) 841-3492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1224 Sligh Blvd Ste a
Orlando, FL 32806-1108

Mailing address

1335 Sligh Blvd
Orlando, FL 32806
Phone (321) 842-8023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231115003895 FL Part B Supplier - Clinic/Group Practice 9234586090 Receives reassigned benefits from 11 practitioners
Practice locations: Longwood, FL; Saint Petersburg, FL; Saint Cloud, FL; Orlando, FL; Clermont, FL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1920 Don Wickham Dr
Ste 220
Clermont, FL 34711
Phone (321) 841-0903

521 W State Road 434
Ste 305
Longwood, FL 32750
Phone (321) 841-0903

9430 Turkey Lake Rd
Ste 200A
Orlando, FL 32819
Phone (321) 842-5816

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1245919299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 SLIGH BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "321-842-8023",
            "fax_number": "321-843-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 SLIGH BLVD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061108",
            "telephone_number": "321-841-3581",
            "fax_number": "321-841-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO HEALTH STAR CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "NAPIER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "VP, REVENUE MANAGEMENT & CRO",
        "authorized_official_telephone_number": "321-841-3492"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.