Individual provider Active NPI

Ana Cristina Mercedes Germosen, M.D

  • Cardiovascular Disease Physician
  • Oviedo, FL
National Provider Identifier
1265745343
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME130830 Issued in FL
Practice address
1000 W Broadway St Ste 120
Oviedo, FL 32765-9262
Phone
(321) 841-6444
Fax
(321) 842-1955
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 53676 AZ
Cardiovascular Disease Physician 207RC0000X ME130830 FL Primary

Addresses

Primary practice location

1000 W Broadway St Ste 120
Oviedo, FL 32765-9262

Mailing address

1000 W Broadway St Ste 120
Oviedo, FL 32765-9262
Phone (321) 841-6444

Other identifiers 1

IdentifierTypeStateIssuer
1155616000MedicaidFL

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
I20220928001147 FL Practitioner - Cardiovascular Disease (Cardiology) 1557666005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1000 W Broadway St
Oviedo, FL 32765-9260
Phone (407) 298-6950

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME130830FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Kingman Healthcare, Inc Single Specialty Current Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

1739 E Beverly Ave
Ste 217
Kingman, AZ 86409
Phone (928) 681-8724

4106 W Lake Mary Blvd
Ste 213
Lake Mary, FL 32746
Phone (321) 843-2100

392 Rinehart Rd
Ste 1090
Lake Mary, FL 32746
Phone (321) 363-9400

521 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179

1000 W Broadway St
Oviedo, FL 32765
Phone (407) 359-6000

1000 W Broadway St
Ste 120
Oviedo, FL 32765

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mercedes.germosen.ana@direct.azkrmc.md
  • Direct secure messaging: amercedesgermosen388331@orlandohealth.medalliesdirect.net

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.

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1265745343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W BROADWAY ST STE 120",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659262",
            "telephone_number": "321-841-6444",
            "fax_number": "321-842-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W BROADWAY ST STE 120",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659262",
            "telephone_number": "321-841-6444",
            "fax_number": "321-842-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCEDES GERMOSEN",
        "first_name": "ANA",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "53676",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME130830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1155616000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.