NPIMap

Individual provider Active NPI

Orlando Portal, M.D.

  • Internal Medicine Physician
  • Riverview, FL
National Provider Identifier
1366626111
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 100005 Issued in FL
Practice address
13150 Vail Ridge Dr
Riverview, FL 33579-7187
Phone
(813) 374-8883
Fax
(813) 443-8361
NPI assigned
Dec 27, 2007
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 100005 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
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080310000085 FL Practitioner - Internal Medicine 4587749932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13150 Vail Ridge Dr
Riverview, FL 33579-7187
Phone (813) 374-8883

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 100005FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Portal MD Inc Internal Medicine CurrentSince Jul 15, 2014 Accepting new patients

Locations

219 Flamingo Dr
Apollo Beach, FL 33572

10420 US Highway 301 S
Riverview, FL 33578
Phone (813) 677-3800

13150 Vail Ridge Dr
Riverview, FL 33579
Phone (813) 374-8883

1918 W Mlk Blvd
Tampa, FL 33607
Phone (813) 582-5203

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1366626111",
    "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": {
        "last_name": "PORTAL",
        "first_name": "ORLANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 100005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.