Individual provider Active NPI

Rosa M Pacheco, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1306836234
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME88490 Issued in FL
Practice address
1130 S Semoran Blvd
Orlando, FL 32807-1457
Phone
(407) 382-1376
Fax
(321) 235-3232
NPI assigned
Oct 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 ME88490 FL Primary

Addresses

Primary practice location

1130 S Semoran Blvd
Orlando, FL 32807-1457

Mailing address

121 S Orange Ave Ste 940
Orlando, FL 32801-3234
Phone (321) 332-6947

Other identifiers 1

IdentifierTypeStateIssuer
267094100MedicaidFL

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
I20040512001454 FL Practitioner - Family Practice 6507856671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ponce School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

4932 W State Rd
46 Suite 1090
Sanford, FL 32771-9244
Phone (407) 635-3149

Hospital & facility affiliations

  • Mederi Caretenders Home health agency, Longwood, FL, CCN 108014
  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88490FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Physicians Network Inc Family Medicine CurrentSince Feb 14, 2022 Accepting new patients
Orlando Family Physicians, LLC CurrentSince Jan 5, 2025 Accepting new patients
Idelis Fedeslinda Arias de la Torre Family Medicine PastSince Jun 1, 2021 Accepting new patients

Locations

719 Rodel Cv
Ste 2001
Lake Mary, FL 32746
Phone (407) 302-3106

1130 S Semoran Blvd
Orlando, FL 32807
Phone (407) 382-1376

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

121 S Orange Ave
Ste 940
Orlando, FL 32801
Phone 4076589687 ext. 129

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

4932 W State Road 46
Ste 1090
Sanford, FL 32771
Phone (407) 635-3330

Interoperability endpoints

  • Direct secure messaging: rpacheco334245@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 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": "1129939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306836234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S ORANGE AVE STE 940",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013234",
            "telephone_number": "321-332-6947",
            "fax_number": "407-658-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071457",
            "telephone_number": "407-382-1376",
            "fax_number": "321-235-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "ROSA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-22",
        "last_updated": "2023-03-07",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME88490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267094100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.