Individual provider Active NPI

Matti Elizabeth Hudak, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1376166447
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2438 S Kirkman Rd
Orlando, FL 32811-2345
Phone
(321) 335-4336
NPI assigned
May 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X FL Primary

Addresses

Primary practice location

2438 S Kirkman Rd
Orlando, FL 32811-2345

Mailing address

5438 Eggleston Ave
Orlando, FL 32810-4928
Phone (407) 595-6707

Other practice location 1

5438 Eggleston Ave
Orlando, FL 32810-4928
Phone (407) 595-6707

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714004057 FL Practitioner - Physician Assistant 7012398548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

Practice addresses (Care Compare)

1328 N Woodland Blvd
Deland, FL 32720-2203
Phone (386) 738-0574

13935 Landstar Blvd
Suite 150
Orlando, FL 32824-5533
Phone (615) 373-7600

410 E Altamonte Dr
Suite 1020
Altamonte Springs, FL 32701-4657
Phone (615) 373-7600

4670 Marigold Ave
Poinciana, FL 34758-4336
Phone (689) 299-0695

5102 Sr
Suite 46
Sanford, FL 32771-9336
Phone (407) 410-8670

5845 Winter Garden Vineland Rd
Windermere, FL 34786-6124
Phone (407) 230-1682

628 Cagan View Rd
Clermont, FL 34714-6566
Phone (352) 242-1988

805 County Rd
Suite 466
Lady Lake, FL 32159-4205
Phone (352) 674-9218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc Multi-Specialty CurrentSince Aug 10, 2025 Accepting new patients
Heathrow Internal Medicine LLC Multi-Specialty Past Accepting new patients

Locations

2438 S Kirkman Rd
Orlando, FL 32811
Phone (321) 335-4336

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": "1590278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1376166447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5438 EGGLESTON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328104928",
            "telephone_number": "407-595-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 S KIRKMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112345",
            "telephone_number": "321-335-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5438 Eggleston Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328104928",
            "country_code": "US",
            "telephone_number": "407-595-6707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDAK",
        "first_name": "MATTI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-24",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.