Individual provider Active NPI

Alessandro A Cavalcante, MPAS, PA-C

  • Physician Assistant
  • Altamonte Springs, FL
National Provider Identifier
1376719336
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA910533 Issued in FL
Practice address
460 E Altamonte Dr Ste 2200
Altamonte Springs, FL 32701
Phone
(407) 767-0009
Fax
(407) 767-0022
NPI assigned
Apr 30, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA910533 FL Primary

Addresses

Primary practice location

460 E Altamonte Dr Ste 2200
Altamonte Springs, FL 32701

Mailing address

460 E Altamonte Dr Ste 2200
Altamonte Springs, FL 32701-4653
Phone (407) 767-0009

Other practice location 1

18550 US Highway 441 Ste A
Mount Dora, FL 32757-6751
Phone (352) 735-3755

Other identifiers 2

IdentifierTypeStateIssuer
PA1519OtherMEMAINE LICENSE
PA9105334OtherFLFL LICENSE NUMBER

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
I20100610000849 FL Practitioner - Physician Assistant 4284709445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3030 E Semoran Blvd
Suite 264
Apopka, FL 32703-5953
Phone (321) 280-3810

4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300

885 N Alafaya TRL
Unit G04
Orlando, FL 32828-7049
Phone (407) 965-5109

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA910533FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc Physician Assistant CurrentSince Sep 3, 2024 Accepting new patients
Adventist Health System Sunbelt, Inc Physician Assistant CurrentSince Sep 3, 2024 Accepting new patients
The Lung Clinic, PA Current Accepting new patients
Moses Lake Community Health Center Past Accepting new patients

Locations

1115 N Central Ave
Kissimmee, FL 34741
Phone (407) 944-3500

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

Interoperability endpoints

  • Direct secure messaging: acavalcante731382@adventhealth.direct-ci.com

Organizations & group practices 5

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 3

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376719336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E ALTAMONTE DR STE 2200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014653",
            "telephone_number": "407-767-0009",
            "fax_number": "407-767-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E ALTAMONTE DR STE 2200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-767-0009",
            "fax_number": "407-767-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18550 US Highway 441 Ste A",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327576751",
            "country_code": "US",
            "telephone_number": "352-735-3755",
            "fax_number": "352-735-3151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVALCANTE",
        "first_name": "ALESSANDRO",
        "middle_name": "A",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA910533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE LICENSE",
            "identifier": "PA1519",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE NUMBER",
            "identifier": "PA9105334",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.