Individual provider Active NPI

Emmanuelle Allseits, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1376906438
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME151011 Issued in FL
Practice address
6000 Turkey Lake Rd Ste 110
Orlando, FL 32819-4205
Phone
(407) 745-1171
Fax
(407) 745-0712
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 ME151011 FL Primary
Family Medicine Physician 207Q00000X A161551 CA

Addresses

Primary practice location

6000 Turkey Lake Rd Ste 110
Orlando, FL 32819-4205

Mailing address

3255 S US Highway 1
Fort Pierce, FL 34982-6381
Phone (772) 742-9275

Other practice location 1

2884 S Osceola Ave
Orlando, FL 32806-5431
Phone (407) 888-5980

Other practice location 2

1300 N Mission Rd
Los Angeles, CA 90033-1021
Phone (323) 409-8255

Other practice location 3

1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273

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
I20210820002623 FL Practitioner - Family Practice 0345536116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Florida International Univ, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midway Specialty Care Center IncGroup PAC ID 9638306087, 30 clinicians

Practice addresses (Care Compare)

2884 S Osceola Ave
Orlando, FL 32806-5431
Phone (772) 742-9276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161551CAMDFamily Medicine Physician
ME151011FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midway Specialty Care Center Inc CurrentSince Aug 2, 2021 Accepting new patients
Associates in Infectious Diseases CurrentSince Aug 19, 2024 Accepting new patients
Midway Primary Care LLC Past Accepting new patients

Locations

3255 S US Highway 1
Fort Pierce, FL 34982
Phone (772) 464-9746

356 E Midway Rd
Fort Pierce, FL 34982
Phone (772) 464-9746

2884 S Osceola Ave
Orlando, FL 32806
Phone (407) 789-2673

5979 Vineland Rd
Ste 208
Orlando, FL 32819
Phone (407) 351-1235

6000 Turkey Lake Rd
Ste 110
Orlando, FL 32819
Phone (407) 351-1888

1801 SE Hillmoor Dr
Ste C-207
Port St Lucie, FL 34952
Phone (772) 335-4234

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1376906438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826381",
            "telephone_number": "772-742-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 TURKEY LAKE RD STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194205",
            "telephone_number": "407-745-1171",
            "fax_number": "407-745-0712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2884 S Osceola Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328065431",
            "country_code": "US",
            "telephone_number": "407-888-5980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 N Mission Rd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331021",
            "country_code": "US",
            "telephone_number": "323-409-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "866-600-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLSEITS",
        "first_name": "EMMANUELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME151011",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A161551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.