Individual provider Active NPI

Roland Brutus, MD

  • Anesthesiology Physician
  • Orlando, FL
National Provider Identifier
1497754303
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME83974 Issued in FL
Practice address
1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378
Phone
(321) 200-4489
Fax
(407) 554-5860
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD05924 RI
Anesthesiology Physician 207L00000X ME83974 FL Primary

Addresses

Primary practice location

1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378

Mailing address

722 West Colonial Dr
Orlando, FL 32818
Phone (321) 960-8209

Other identifiers 1

IdentifierTypeStateIssuer
7000246MedicaidRI

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
I20190426000536 FL Practitioner - Anesthesiology 2769482595 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME83974FLMDAnesthesiology Physician
MD05924RIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samara Home Doctor Services, LLC CurrentSince Apr 1, 2019 Accepting new patients
Samara Primary Care Clinic PastSince Nov 9, 2025 Accepting new patients
Anesthesia Associates of Kent County, LLC Anesthesiology Past Accepting new patients
Anesthesia Associates of Kent County, LLC Anesthesiology Past Accepting new patients

Locations

2513 Semoran Blvd
Apopka, FL 32703
Phone (321) 200-4489

1800 Pembrook Dr
Ste 300
Orlando, FL 32810
Phone (321) 200-4489

Organizations & group practices 4

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1497754303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 WEST COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32818",
            "telephone_number": "321-960-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEMBROOK DR STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106378",
            "telephone_number": "321-200-4489",
            "fax_number": "407-554-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTUS",
        "first_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "RI",
            "license": "MD05924",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME83974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000246",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.