Individual provider Active NPI

Blair E. Heinke, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1366609604
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME150127 Issued in FL
Practice address
12500 S Apopka Vineland Rd
Orlando, FL 32836-6723
Phone
(407) 934-2273
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD040981 DC
Family Medicine Physician 207Q00000X ME150127 FL Primary

Addresses

Primary practice location

12500 S Apopka Vineland Rd
Orlando, FL 32836-6723

Mailing address

12500 S Apopka Vineland Rd
Orlando, FL 32836-6723
Phone (689) 777-9201

Other names 1

  • Mrs. Blair Mullner Other 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
I20220207002573 FL Practitioner - Family Practice 0042480717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York Downstate Medical Center, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12500 S Apopka Vineland Rd
Orlando, FL 32836-6723
Phone (407) 934-2273

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

8201 W Irlo Bronson Hwy
Adventhealth Centra Care Orange Lake
Kissimmee, FL 34747-8202
Phone (407) 465-0846

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc. Family Medicine CurrentSince Sep 25, 2025 Accepting new patients
Adventist Health System Sunbelt, Inc. Family Medicine Current Accepting new patients
Orlando Physicians Network Inc Family Medicine CurrentSince Jan 31, 2022 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

800 N Maitland Ave
Ste 101
Maitland, FL 32751
Phone (407) 660-7150

12500 State Road 535
Orlando, FL 32836
Phone (407) 827-8164

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

Organizations & group practices 3

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1366609604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 S APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366723",
            "telephone_number": "689-777-9201",
            "fax_number": "703-558-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 S APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366723",
            "telephone_number": "407-934-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINKE",
        "first_name": "BLAIR",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD040981",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME150127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIR",
            "last_name": "MULLNER",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.