Individual provider Active NPI

Barry Franklin Portnoy, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1396768826
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0015367 Issued in FL
Practice address
8701 Maitland Summit Blvd
Orlando, FL 32810-5915
Phone
(407) 916-4551
Fax
(407) 916-4552
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0015367 FL Primary

Addresses

Primary practice location

8701 Maitland Summit Blvd
Orlando, FL 32810-5915

Mailing address

494 Sabal Trail Cir
Longwood, FL 32779-6127
Phone (407) 916-4551

Other identifiers 1

IdentifierTypeStateIssuer
045933000MedicaidFL

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
I20101005001311 FL Practitioner - Family Practice 2769674019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Columbia University College of Physicians and Surgeons, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19015 US Hwy 441
Mount Dora, FL 32757-6708
Phone (352) 383-3484

2609 S Orange Ave
Orlando, FL 32806-4547
Phone (407) 203-0656

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

8010 Red Bug Lake Rd
Oviedo, FL 32765-8084
Phone (407) 977-3677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0015367FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/ Sunbelt, Inc. Family Medicine CurrentSince Jan 1, 1970 Accepting new patients
Adventist Health System/Sunbelt, Inc. Family Medicine CurrentSince Jan 1, 1970 Accepting new patients
Adventist Health System Sunbelt, Inc. Family Medicine Current Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: bportnoy73495@adventhealth.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396768826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 SABAL TRAIL CIR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327796127",
            "telephone_number": "407-916-4551",
            "fax_number": "407-916-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 MAITLAND SUMMIT BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105915",
            "telephone_number": "407-916-4551",
            "fax_number": "407-916-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNOY",
        "first_name": "BARRY",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0015367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045933000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.