Organization Active NPI

Orlando Physicians Group Inc.

Doing business as Allergy & Asthma Center of Orlando

  • Allergy & Immunology Physician
  • Orlando, FL
National Provider Identifier
1285169177
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME128383 Issued in FL
Legal business name
ORLANDO PHYSICIANS GROUP INC.
Doing business as
Allergy & Asthma Center of Orlando
Practice address
5385 Conroy Rd
Suite 100
Orlando, FL 32811-3719
Phone
(407) 777-8794
Fax
(689) 208-1222
NPI assigned
Apr 27, 2017
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Shreya N Patel, M.D.NPI 1386078814
Title
President
Phone
(814) 380-3443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME128383 FL Primary
Pediatrics Physician 208000000X ME128383 FL
Psychiatry Physician 2084P0800X ME132161 FL
Child & Adolescent Psychiatry Physician 2084P0804X ME132161 FL

Addresses

Primary practice location

5385 Conroy Rd
Suite 100
Orlando, FL 32811-3719

Mailing address

5385 Conroy Rd Ste 100&104
Orlando, FL 32811-3719
Phone (407) 777-8794

Other identifiers 1

IdentifierTypeStateIssuer
1386078814MedicaidFL

Other names 1

  • ALLERGY & ASTHMA CENTER OF ORLANDO Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180927000970 FL Part B Supplier - Clinic/Group Practice 4183975360 Receives reassigned benefits from 3 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

5385 Conroy Rd
Ste 100
Orlando, FL 32811
Phone (407) 777-8794

5385 Conroy Rd
Ste 100104
Orlando, FL 32811

5385 Conroy Rd
Ste 104
Orlando, FL 32811
Phone (407) 777-8794

Practitioners & affiliated clinicians

Practitioners 6

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": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1285169177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 CONROY RD STE 100&104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328113719",
            "telephone_number": "407-777-8794",
            "fax_number": "689-208-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 CONROY RD",
            "address_2": "SUITE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328113719",
            "telephone_number": "407-777-8794",
            "fax_number": "689-208-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO PHYSICIANS GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHREYA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-380-3443",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME128383",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME128383",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME132161",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME132161",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386078814",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLERGY & ASTHMA CENTER OF ORLANDO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALLERGY & ASTHMA CENTER OF ORLANDO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 8, 2024; 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.