Elia C Mavrofrides, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME0085097 Issued in FL

Practice address

95 Columbia St
Orlando, FL 32806-1101

Phone

(407) 849-9621

Fax

(407) 420-4056

NPI assigned

Jul 22, 2005

Last updated

Apr 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Elias C Mavrofrides Other name

Electronic endpoints 1

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

Specialty

Ophthalmology

Education

University of Florida College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Vitreous ConsultantsGroup PAC ID 4082610019, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

99

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Retina Vitreous Consultants

  dba Retina Group of Florida

  • Ophthalmology Physician
  • Fort Lauderdale, FL
  • NPI 1699773796
  Medicare reassignment Care Compare group NPD

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

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1396745105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8786 PERIMETER PARK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166347",
            "telephone_number": "904-997-9202",
            "fax_number": "904-996-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 COLUMBIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061101",
            "telephone_number": "407-849-9621",
            "fax_number": "407-420-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4880 N Highway 19A Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327572018",
            "country_code": "US",
            "telephone_number": "352-357-1203",
            "fax_number": "352-357-1459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 South Highway 27/441",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321594540",
            "country_code": "US",
            "telephone_number": "352-259-9944",
            "fax_number": "352-259-9926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Primera Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462175",
            "country_code": "US",
            "telephone_number": "407-333-1570",
            "fax_number": "407-333-1381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAVROFRIDES",
        "first_name": "ELIA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0085097",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME85097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264820200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emavrofrides@floridaretinainstitute.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "95 Columbia St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328061101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIAS",
            "last_name": "MAVROFRIDES",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandra Mauro, O.D.
• Jessica Lynnette Maurtua, RCS
• Elliot Mausner, DDS
• Anastasia Mauvais
• Mavie New Leaf Care Group LLC
• Evelyn Mavrofrides, O.D.
• John C Mavropoulos, M.D., M.P.H., PH.D.
• Aron Mavros, CNM
• Constantine Mavroudis, M.D.
• Ashanta Mawudzro

• Ophthalmology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.