NPIMap

Individual provider Active NPI

Camilo D Fernandez-Salvador, M.D

  • Otolaryngology Physician
  • Winter Park, FL
National Provider Identifier
1386057255
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME158179 Issued in FL
Practice address
133 Benmore Dr Ste 100
Winter Park, FL 32792-4111
Phone
(407) 644-4883
Fax
(407) 644-3697
NPI assigned
Jun 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 256225 NC
General Practice Physician 208D00000X 18559 HI
Otolaryngology Physician 207Y00000X ME158179 FL Primary

Addresses

Primary practice location

133 Benmore Dr Ste 100
Winter Park, FL 32792-4111

Mailing address

2817 Reilly St
Fort Bragg, NC 28310-7394
Phone (910) 907-9829

Other practice location 1

2817 Reilly St
Fort Bragg, NC 28310-5001
Phone (910) 907-9829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, FL, WI3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220628002406 ND Practitioner - Otolaryngology 5698154268 Reassigns benefits to 1 organization
I20230701000161 FL Practitioner - Otolaryngology 5698154268 Reassigns benefits to 2 organizations
I20260317001654 WI Practitioner - Otolaryngology 5698154268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Florida State University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
The Ear Nose and Throat Surgical Associates PAGroup PAC ID 2466437926, 49 clinicians

Practice addresses (Care Compare)

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

133 Benmore Dr
Suite 100
Winter Park, FL 32792-4111
Phone (407) 644-4883

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

2251 N Shore Dr
Rhinelander, WI 54501-6710

4440 S Washington St
Grand Forks, ND 58201-7245
Phone (701) 780-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
86.06
Promoting interoperability
100
Improvement activities
40
Cost
65.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256225NCMDOtolaryngology Physician
18559HIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Ear Nose and Throat Surgical Associates PA Otolaryngology CurrentSince Jul 10, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 23, 2026 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Feb 23, 2026 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 23, 2026 Accepting new patients

Locations

107 Hermits Trl
Altamonte Springs, FL 32701
Phone (407) 834-9120

400 Celebration Pl
Ste A120
Kissimmee, FL 34747
Phone (407) 228-8066

10920 Moss Park Rd
Ste 224
Orlando, FL 32832

44 W Michigan St
Orlando, FL 32806
Phone (407) 422-4921

133 Benmore Dr
Ste 100
Winter Park, FL 32792

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 7

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1386057255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107394",
            "telephone_number": "910-907-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924111",
            "telephone_number": "407-644-4883",
            "fax_number": "407-644-3697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2817 Reilly St",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "NC",
            "postal_code": "283105001",
            "country_code": "US",
            "telephone_number": "910-907-9829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ-SALVADOR",
        "first_name": "CAMILO",
        "middle_name": "D",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-08",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "256225",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "18559",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME158179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.