Individual provider Active NPI

Rhonda M Elton, MD

  • Pediatrics Physician
  • Winter Garden, FL
National Provider Identifier
1386606879
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME136393 Issued in FL
Practice address
2020 Daniels Rd Ste a
Winter Garden, FL 34787-4975
Phone
(407) 554-3020
Fax
(407) 554-3040
NPI assigned
Apr 3, 2006
Last updated
Aug 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301056536 MI
Pediatrics Physician 208000000X ME136393 FL Primary

Addresses

Primary practice location

2020 Daniels Rd Ste a
Winter Garden, FL 34787-4975

Mailing address

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
Phone (904) 697-4127

Other practice location 1

6900 Orchard Lake Rd
Ste 315
West Bloomfield, MI 48322
Phone (248) 855-7510

Other identifiers 2

IdentifierTypeStateIssuer
100081400MedicaidFL
31743081MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME136393FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Health Alliance, LLC Pediatrics Past Accepting new patients
Nemours Children's Health, Winter Garden, Primary Care Pediatrics PastSince Jun 27, 2021 Accepting new patients
Beaumont Medical Group- Specialty Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: relton73491@direct.nemours.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1386606879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 CENTURION PKWY N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560532",
            "telephone_number": "904-697-4127",
            "fax_number": "904-697-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 DANIELS RD STE A",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874975",
            "telephone_number": "407-554-3020",
            "fax_number": "407-554-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Orchard Lake Rd",
            "address_2": "Ste 315",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "48322",
            "country_code": "US",
            "telephone_number": "248-855-7510",
            "fax_number": "248-855-5626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELTON",
        "first_name": "RHONDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301056536",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME136393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100081400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31743081",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.