Individual provider Active NPI

Virgil L Dawson Jr., MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1295797041
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME47263 Issued in FL
Practice address
3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone
(407) 266-3627
Fax
(407) 882-4799
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME47263 FL Primary

Addresses

Primary practice location

3400 Quadrangle Blvd
Orlando, FL 32817-1492

Mailing address

3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone (407) 266-3627

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
I20110930000406 FL Practitioner - Family Practice 1850352006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
The University of Central Florida Board of TrusteesGroup PAC ID 9739181470, 43 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone (407) 882-4814

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME47263FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Central Florida Board of Trustees CurrentSince Dec 19, 2014 Accepting new patients
The University of Central Florida Board of Trustees CurrentSince Dec 19, 2014 Accepting new patients
Communication Disorders Clinic Past Accepting new patients

Locations

12424 Research Pkwy
Ste 155
Orlando, FL 32826
Phone (407) 249-4770

3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627

Interoperability endpoints

  • Direct secure messaging: virgil.dawson@ucfh.eclinicaldirectplus.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 2

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1295797041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 QUADRANGLE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171492",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 QUADRANGLE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171492",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "VIRGIL",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME47263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.