Individual provider Active NPI

Reesa Lendry Monir, MD

  • Pediatric Dermatology Physician
  • Orlando, FL
National Provider Identifier
1477058303
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Dermatology PhysicianTaxonomy code 207NP0225X
License
ME158010 Issued in FL
Practice address
1502 Lucerne Ter
Orlando, FL 32806-2007
Phone
(321) 841-6903
Fax
(321) 841-6913
NPI assigned
Mar 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X ME158010 FL Primary

Addresses

Primary practice location

1502 Lucerne Ter
Orlando, FL 32806-2007

Mailing address

1502 Lucerne Ter
Orlando, FL 32806-2007
Phone (321) 841-6903

Other identifiers 1

IdentifierTypeStateIssuer
114927600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220727002660 FL Practitioner - Dermatology 9830441641 Reassigns benefits to 2 organizations
I20231016001877 GA Practitioner - Dermatology 9830441641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME158010FLMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 21, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 21, 2022 Accepting new patients
The Emory Clinic Inc CurrentSince Oct 30, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Ste 4102
Gainesville, FL 32610
Phone (352) 265-0023

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1502 Lucerne Ter
Orlando, FL 32806
Phone (321) 841-2262

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

Organizations & group practices 5

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1477058303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 LUCERNE TER",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062007",
            "telephone_number": "321-841-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 LUCERNE TER",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062007",
            "telephone_number": "321-841-6903",
            "fax_number": "321-841-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIR",
        "first_name": "REESA",
        "middle_name": "LENDRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "FL",
            "license": "ME158010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114927600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.