NPIMap

Organization Active NPI

Eh Medical Group LLC

Doing business as Evolve Health

  • Nephrology Physician
  • Kissimmee, FL
National Provider Identifier
1366381469
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
EH MEDICAL GROUP LLC
Doing business as
Evolve Health
Practice address
1121 N Central Ave
Kissimmee, FL 34741-4405
Phone
(407) 305-8093
NPI assigned
Mar 25, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Adam SiegelNPI 1356690135
Title
MGR
Phone
(813) 400-1140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary
Rheumatology Physician 207RR0500X
Podiatrist 213E00000X
Physical Therapist 225100000X

Addresses

Primary practice location

1121 N Central Ave
Kissimmee, FL 34741-4405

Mailing address

1121 N Central Ave
Kissimmee, FL 34741-4405
Phone (407) 605-2321

Other practice location 1

301 Frontage Rd Ste B&c
Clermont, FL 34711-2447
Phone (352) 386-0190

Other practice location 2

15815 Shaddock Dr Ste 130
Winter Garden, FL 34787-5773
Phone (407) 605-2321

Other practice location 3

2960 Maguire Rd Ste 1005
Ocoee, FL 34761-4755
Phone (407) 839-6885

Other names 1

  • EVOLVE HEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260522000892 FL Part B Supplier - Clinic/Group Practice 1951871631 Receives reassigned benefits from 1 practitioner
Practice locations: Ocoee, FL; Winter Garden, FL; Clermont, FL
O20260617001141 FL DME Supplier - Physician - NephrologyDME Supplier - Physician - PodiatryDME Supplier - Physician - RheumatologyDME Supplier - Physician - Vascular Surgery 1951871631 Practice locations: Winter Garden, FL

National Provider Directory

National Provider Directory

Locations

301 Frontage Rd
Clermont, FL 34711
Phone (352) 386-0190

15815 Shaddock Dr
Ste 130
Winter Garden, FL 34787
Phone (407) 605-2321

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1366381469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414405",
            "telephone_number": "407-605-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414405",
            "telephone_number": "407-305-8093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Frontage Rd Ste B&c",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347112447",
            "country_code": "US",
            "telephone_number": "352-386-0190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15815 Shaddock Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347875773",
            "country_code": "US",
            "telephone_number": "407-605-2321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2960 Maguire Rd Ste 1005",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347614755",
            "country_code": "US",
            "telephone_number": "407-839-6885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EH MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "813-400-1140"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVOLVE HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.