Individual provider Active NPI

Phillip Richard Anderson III, M.D.

  • Interventional Cardiology Physician
  • Celebration, FL
National Provider Identifier
1508085911
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME110072 Issued in FL
Practice address
410 Celebration PL
Celebration, FL 34747-5433
Phone
(407) 894-4474
NPI assigned
Apr 24, 2007
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME110072 FL
Interventional Cardiology Physician 207RI0011X ME110072 FL Primary

Addresses

Primary practice location

410 Celebration PL
Celebration, FL 34747-5433

Mailing address

410 Celebration PL Ste 300
Celebration, FL 34747-5434
Phone (407) 894-4474

Other practice location 1

1745 N Mills Ave
Central Florida Cardiology Group
Orlando, FL 32803-1876
Phone (407) 841-7151

Other practice location 2

4106 W Lake Mary Blvd Ste 312
Lake Mary, FL 32746-3344
Phone (407) 333-2142

Other practice location 3

2441 W State Road 426 Ste 2021
Oviedo, FL 32765-4515
Phone (407) 365-7268

Other practice location 4

5979 Vineland Rd Ste 114
Orlando, FL 32819-7855
Phone (407) 237-0907

Other practice location 5

2400 N Orange Blossom Trl Ste 204
Kissimmee, FL 34744-2307
Phone (407) 894-4474

Other practice location 6

2488 E Irlo Bronson Memorial Hwy Ste 201
Kissimmee, FL 34744-4948
Phone (407) 894-4474

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
I20110805000365 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 6002085180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear Medicine
Education
University of Cincinnati College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1613 N Mills Ave
Orlando, FL 32803-1849
Phone (407) 894-4474

2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050

2100 Ocoee Apopka Rd
Apopka, FL 32703-9210

25 S Terry Ave
Suite 320
Orlando, FL 32805-1843
Phone (844) 407-4070

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

2984 Alafaya TRL
Suite 1000
Oviedo, FL 32765-7628
Phone (407) 894-4474

400 Celebration PL
Celebration, FL 34747-4970

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

631 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-4802
Phone (407) 303-5214

689 E Altamonte Dr
Altamonte Springs, FL 32701-4801
Phone (407) 894-4474

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt, Inc CurrentSince Apr 4, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 10, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 10, 2022 Accepting new patients
Adventist Health System-Sunbelt, Inc CurrentSince Apr 4, 2022 Accepting new patients
Qoros Florida Cardiology Associates, P.a. Cardiovascular Disease PastSince Oct 18, 2024 Accepting new patients

Locations

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

2400 N Orange Blossom Trl
Ste 204
Kissimmee, FL 34744
Phone (407) 944-3097

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pandersoniii131568@adventhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1508085911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 300",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475434",
            "telephone_number": "407-894-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475433",
            "telephone_number": "407-894-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1745 N Mills Ave",
            "address_2": "Central Florida Cardiology Group",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031876",
            "country_code": "US",
            "telephone_number": "407-841-7151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4106 W Lake Mary Blvd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327463344",
            "country_code": "US",
            "telephone_number": "407-333-2142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2441 W State Road 426 Ste 2021",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327654515",
            "country_code": "US",
            "telephone_number": "407-365-7268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5979 Vineland Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197855",
            "country_code": "US",
            "telephone_number": "407-237-0907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 N Orange Blossom Trl Ste 204",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347442307",
            "country_code": "US",
            "telephone_number": "407-894-4474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2488 E Irlo Bronson Memorial Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347444948",
            "country_code": "US",
            "telephone_number": "407-894-4474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PHILLIP",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME110072",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME110072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.