Individual provider Active NPI

William Felix-Rodriguez, MD

  • Sports Medicine (Family Medicine) Physician
  • Orlando, FL
National Provider Identifier
1407013295
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME107554 Issued in FL
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

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110990007OtherKSMEDICARE
200565650AMedicaidKS

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
I20100908000283 FL Practitioner - Emergency MedicinePractitioner - Sports Medicine 8729150842 Reassigns benefits to 2 organizations

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-33108KSMDEmergency Medicine Physician
ME107554FLMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt Inc Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 10, 2015 Accepting new patients
Adventist Health System-Sunbelt, Inc CurrentSince Oct 19, 2015 Accepting new patients
Adventist Health System-Sunbelt, Inc CurrentSince Oct 19, 2015 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 10, 2015 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.

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

Verify at the official NPI Registry.