Organization Active NPI

Orlando Portal MD Inc

  • Internal Medicine Physician
  • Riverview, FL
National Provider Identifier
1346651650
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100005 Issued in FL
Legal business name
ORLANDO PORTAL MD INC
Practice address
13150 Vail Ridge Dr
Riverview, FL 33579-7187
Phone
(813) 374-8883
Fax
(813) 443-8361
NPI assigned
May 8, 2014
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Orlando Portal, M.D.NPI 1366626111
Title
Owner & President
Phone
(813) 374-8883

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME100005 FL Primary

Addresses

Primary practice location

13150 Vail Ridge Dr
Riverview, FL 33579-7187

Mailing address

219 Flamingo Dr PMB 3695
Apollo Beach, FL 33572-7000
Phone (813) 374-8883

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140818002602 FL Part B Supplier - Clinic/Group Practice 8123245941 Receives reassigned benefits from 1 practitioner
Practice locations: Riverview, FL; Tampa, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2080999Orlando Portal MD Inc13150 Vail Ridge Drive, Riverview, FL 33579Certificate of waiverJul 16, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1346651650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 FLAMINGO DR PMB 3695",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335727000",
            "telephone_number": "813-374-8883",
            "fax_number": "813-443-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13150 VAIL RIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797187",
            "telephone_number": "813-374-8883",
            "fax_number": "813-443-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO PORTAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "PORTAL",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "OWNER & PRESIDENT",
        "authorized_official_telephone_number": "813-374-8883",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.