Individual provider Active NPI

Andrew Carbone, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Orlando, FL
National Provider Identifier
1396108460
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A171016 Issued in CA
Practice address
1900 N Alafaya TRL Ste 900
Orlando, FL 32826-4737
Phone
(407) 380-8705
Fax
(407) 643-2804
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A171016 CA Primary

Addresses

Primary practice location

1900 N Alafaya TRL Ste 900
Orlando, FL 32826-4737

Mailing address

1900 N Alafaya TRL Ste 900
Orlando, FL 32826-4737
Phone (407) 380-8705

Other practice location 1

6801 Park Ter Ste 400
Los Angeles, CA 90045-9212
Phone (310) 665-7200

Other practice location 2

205 S Orange Ave
Newark, NJ 07103-2785
Phone (973) 972-5350

Other identifiers 1

IdentifierTypeStateIssuer
118840300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220125002564 IL Practitioner - Orthopedic Surgery 6305182916 Reassigns benefits to 1 organization
I20230725002264 FL Practitioner - Orthopedic Surgery 6305182916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians
H2 Rehabilitation Extension Services LLCGroup PAC ID 6406131622, shared by 5 NPIs, 161 clinicians

Practice addresses (Care Compare)

17000 Porter Rd
Winter Garden, FL 34787-8915

313 S Walnut St
Bath, PA 18014-1024
Phone (484) 425-0297

32 W Gore St
Orlando, FL 32806-1134

60 Columbia St
Orlando, FL 32806-1115
Phone (321) 843-5851

62 Columbia St
Orlando, FL 32806-1115
Phone (321) 843-5851

9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (407) 354-1202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A171016CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Sports Medicine CurrentSince Sep 1, 2023 Accepting new patients
Orlando Health Medical Group Inc Sports Medicine CurrentSince Sep 1, 2023 Accepting new patients

Locations

1900 N Alafaya Trl
Ste 900
Orlando, FL 32826
Phone (407) 380-8705

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

Hospital & facility affiliations 1

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1396108460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N ALAFAYA TRL STE 900",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264737",
            "telephone_number": "407-380-8705",
            "fax_number": "407-643-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N ALAFAYA TRL STE 900",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264737",
            "telephone_number": "407-380-8705",
            "fax_number": "407-643-2804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Park Ter Ste 400",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900459212",
            "country_code": "US",
            "telephone_number": "310-665-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032785",
            "country_code": "US",
            "telephone_number": "973-972-5350",
            "fax_number": "973-972-9367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A171016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118840300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.