Individual provider Active NPI

Emily Vives, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1346285293
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME84737 Issued in FL
Practice address
11183 S Orange Blossom TRL
Unit 204 D
Orlando, FL 32837-9402
Phone
(407) 850-0103
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 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 ME84737 FL Primary

Addresses

Primary practice location

11183 S Orange Blossom TRL
Unit 204 D
Orlando, FL 32837-9402

Mailing address

11183 S Orange Blossom TRL
Suite 204D
Orlando, FL 32837-9402
Phone (407) 850-0103

Other identifiers 1

IdentifierTypeStateIssuer
265342700MedicaidFL

Other names 1

  • Dr. Emily Vives Professional name

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
I20101029001045 FL Practitioner - General Practice 3577569052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11183 S Orange Blossom Trail
Suite 204D
Orlando, FL 32837-9402
Phone (407) 850-0103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Medical PL, LLC. CurrentSince Feb 21, 2002 Accepting new patients

Locations

11183 S Orange Blossom Trl
Ste 204D
Orlando, FL 32837
Phone (407) 850-0103

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDHCCD/Endpoint/HDHCCD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1346285293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11183 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE 204D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379402",
            "telephone_number": "407-850-0103",
            "fax_number": "407-850-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11183 S ORANGE BLOSSOM TRL",
            "address_2": "UNIT 204 D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379402",
            "telephone_number": "407-850-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVES",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME84737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265342700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "VIVES",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.