Individual provider Active NPI

Aileen Edith Rosario, M.D.

  • General Practice Physician
  • Saint Cloud, FL
National Provider Identifier
1386601284
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1091 Issued in FL
Practice address
521 13TH St
Saint Cloud, FL 34769-4501
Phone
(407) 556-6222
Fax
(844) 388-6186
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13786 PR
General Practice Physician 208D00000X ACN1091 FL Primary

Addresses

Primary practice location

521 13TH St
Saint Cloud, FL 34769-4501

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (863) 215-6639

Other practice location 1

2164 S Chickasaw Trl
Orlando, FL 32825-8412
Phone (407) 985-5677

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
I20181008000546 FL Practitioner - General Practice 3072785112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

2164 S Chickasaw TRL
Orlando, FL 32825-8412
Phone (407) 985-5677

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Associates LLC CurrentSince Aug 27, 2018 Accepting new patients
Emergency Department Medical Services, CSP Past Accepting new patients
Vipcare Dental PLLC Past Accepting new patients
Family Practice-St Cloud, Inc. Past Accepting new patients

Locations

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

2164 S Chickasaw Trl
Orlando, FL 32825
Phone (407) 985-5677

5626 Curry Ford Rd
Orlando, FL 32822
Phone (407) 985-5677

4600 Mobile Hwy
#10
Pensacola, FL 32506
Phone (850) 407-4997

3100 17th St
Ste B
Saint Cloud, FL 34769
Phone (407) 892-0009

521 13th St
Saint Cloud, FL 34769
Phone (407) 556-6222

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

2526 E Bearss Ave
Tampa, FL 33613
Phone (813) 553-7120

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: aileen.rosario@sl.eclinicaldirectplus.com

Organizations & group practices 4

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1386601284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "863-215-6639",
            "fax_number": "844-388-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694501",
            "telephone_number": "407-556-6222",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2164 S Chickasaw Trl",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328258412",
            "country_code": "US",
            "telephone_number": "407-985-5677",
            "fax_number": "844-388-6186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "AILEEN",
        "middle_name": "EDITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13786",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.