Individual provider Active NPI

Kevin Lee Pressley, D.O.

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1396854956
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0006388 Issued in FL
Practice address
4474 Edgewater Dr
Orlando, FL 32804-1216
Phone
(407) 297-8007
Fax
(407) 297-0006
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0006388 FL Primary

Addresses

Primary practice location

4474 Edgewater Dr
Orlando, FL 32804-1216

Mailing address

4474 Edgewater Dr
Orlando, FL 32804-1216
Phone (407) 297-8007

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
I20100225000373 FL Practitioner - Internal Medicine 0749324960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0006388FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amzwellcloud CurrentSince Jun 1, 2021 Accepting new patients

Locations

4474 Edgewater Dr
Orlando, FL 32804
Phone (407) 628-4545

Organizations & group practices 1

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1396854956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4474 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041216",
            "telephone_number": "407-297-8007",
            "fax_number": "407-297-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4474 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041216",
            "telephone_number": "407-297-8007",
            "fax_number": "407-297-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSLEY",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "0006388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.