Active NPI
William Felix-Rodriguez, MD
- Sports Medicine (Family Medicine) Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- ME107554
- Practice address
- 9975 Tavistock Lakes Blvd
Suite 220
Orlando, FL 32827-7559 - Phone
- (407) 930-7801
- Fax
- (407) 930-7806
- NPI assigned
- May 20, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | ME107554 | FL | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ME107554 | FL | Primary |
| Emergency Medicine Physician | 207P00000X | 04-33108 | KS |
Addresses
Primary practice location
9975 Tavistock Lakes Blvd
Suite 220
Orlando, FL 32827-7559
Mailing address
9975 Tavistock Lakes Blvd
Suite 220
Orlando, FL 32827-7559
Phone (407) 930-7801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110990007 | Other | KS | MEDICARE |
| 200565650A | Medicaid | KS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-33108 | KS | MD | Emergency Medicine Physician |
| ME107554 | FL | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System Sunbelt Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt, Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt, Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Via Christi Emergency Physician Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Impower, Inc | Past | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
9975 Tavistock Lakes Blvd
Ste 220
Orlando, FL 32827
Phone (407) 930-7800
7350 Sandlake Commons Blvd
Ste 3315
Orlando, FL 32819
Phone (407) 354-3700
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Winter Park, FL
- NPI 1780777391
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Transplant Surgery Physician
- Orlando, FL
- NPI 1659439156
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Community/Behavioral Health Agency
- Longwood, FL
- NPI 1104910868
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1265497747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1407013295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9975 TAVISTOCK LAKES BLVD",
"address_2": "SUITE 220",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277559",
"telephone_number": "407-930-7801",
"fax_number": "407-930-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9975 TAVISTOCK LAKES BLVD",
"address_2": "SUITE 220",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277559",
"telephone_number": "407-930-7801",
"fax_number": "407-930-7806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELIX-RODRIGUEZ",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-20",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "FL",
"license": "ME107554",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "FL",
"license": "ME107554",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "04-33108",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "110990007",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200565650A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.