Marissa E. Magsino, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME72766 Issued in FL

Practice address

7450 Dr Phillips Blvd
Suite 204
Orlando, FL 32819

Phone

(407) 292-6778

Fax

(407) 292-5297

NPI assigned

Nov 27, 2007

Last updated

Apr 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 12, 2019 through Dec 12, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marissa Estiva Magsino MD PA

  dba metrowest internal medicine

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1790808293
  Authorized official Same address or phone
• Marissa Estiva-Magsino Mdpa

  dba metrowest internal medicine

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1366413544
  NPD (past) Authorized official

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1295917763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 DR. PHILLIPS BLVD",
            "address_2": "SUITE 204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32819",
            "telephone_number": "407-292-6778",
            "fax_number": "407-292-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 DR PHILLIPS BLVD",
            "address_2": "SUITE 204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32819",
            "telephone_number": "407-292-6778",
            "fax_number": "407-292-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGSINO",
        "first_name": "MARISSA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253614500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Magollo
• Jeiel Jim Magpayo, PTA
• Adonis Magras
• Magruder Eye Institute, PLLC (Advanced Eye Care)
• George Brock Magruder Jr., MD
• Sierra Johana Magurczek
• Magyar HC Holdings LLC
• Natasha Mahaise
• Barinder Singh Mahal, M.D.
• Charlene Mahan, LMHC

• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.