NPIMap

Individual provider Active NPI

Ronald V Hudanich, DO

  • Orthopaedic Surgery Physician
  • Oviedo, FL
National Provider Identifier
1437113404
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS9208 Issued in FL
Practice address
7404 Red Bug Lake Rd
Oviedo, FL 32765-7154
Phone
(407) 977-4130
Fax
(407) 977-4139
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS9208 FL Primary

Addresses

Primary practice location

7404 Red Bug Lake Rd
Oviedo, FL 32765-7154

Mailing address

773 Stirling Center PL
Lake Mary, FL 32746-4856
Phone (407) 977-4130

Other identifiers 1

IdentifierTypeStateIssuer
270772100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000585 FL Practitioner - Orthopedic Surgery 0840263596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Greater Orlando Orthopedic GroupGroup PAC ID 6608128863, 7 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

773 Strling Ctr PL
Lake Mary, FL 32746-4856
Phone (407) 977-4130

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Orlando, FL, CCN 103127
  • Pinnacle Home Care Home health agency, Ormond Beach, FL, CCN 108499
  • Pinnacle Home Care of the Villages Inc Home health agency, The Villages, FL, CCN 109702
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Oviedo Medical Center Hospital, Oviedo, FL, CCN 100329
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement60
Knee replacement129
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9208FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Joint and Spine Institute-Orlando, LLC CurrentSince Sep 29, 2024 Accepting new patients
Florida Orthopaedic Associates PA Orthopaedic Surgery PastSince Nov 1, 2005 Accepting new patients

Locations

7974 Lake Underhill Rd
Orlando, FL 32822
Phone (321) 710-9899

7974 Lake Underhill Rd
Ste A
Orlando, FL 32822
Phone (407) 977-4130

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1437113404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 STIRLING CENTER PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464856",
            "telephone_number": "407-977-4130",
            "fax_number": "407-389-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 RED BUG LAKE RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657154",
            "telephone_number": "407-977-4130",
            "fax_number": "407-977-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDANICH",
        "first_name": "RONALD",
        "middle_name": "V",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS9208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270772100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.