Adventist Health System-Sunbelt, Inc

Primary specialty

Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X

Legal business name

ADVENTIST HEALTH SYSTEM-SUNBELT, INC

Doing business as

AdventHealth Celebration
AdventHealth Orlando

Practice address

400 Celebration PL
Kissimmee, FL 34747-4970

Phone

(407) 303-4000

NPI assigned

Jan 25, 2022

Last updated

Jan 25, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ADVENTIST HEALTH SYSTEM-SUNBELT, INCAs reported in NPPES

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

Authorized official

Name

Mr. Douglas Hilliard

Title

Cfo

Phone

(407) 303-1574

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• AdventHealth Celebration Doing business as
• AdventHealth Orlando Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071

  O20220222000822

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Florida Hospital-Family

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manoj Kumar Agrawal, M.D.

  • Interventional Cardiology Physician
  • Kissimmee, FL
  • NPI 1689784365
  NPD
• Padma K Raju, MD

  • Interventional Cardiology Physician
  • Kissimmee, FL
  • NPI 1972698678
  NPD

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1528710100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 MONTGOMERY RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327146843",
            "telephone_number": "407-303-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CELEBRATION PL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347474970",
            "telephone_number": "407-303-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH SYSTEM-SUNBELT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVENTIST HEALTH SYSTEM-SUNBELT, INC",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-303-1574",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101290-01",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101290-04",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AdventHealth Celebration",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AdventHealth Orlando",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adventist Health System Sunbelt, Inc (AdventHealth Total Health Management - Partin Settlement)
• Adventist Health System-Sunbelt Inc Adventhealth Orlando (AdventHealth Outpatient Pharmacy Kissimmee)
• Adventist Health System-Sunbelt, Inc (Adventhealth Metabolic Health Institute Partin Settlement)
• Adventist Health System-Sunbelt, Inc (Adventhealth Radiation Oncology & Pet CT Kissimmee)
• Adventist Health System-Sunbelt, Inc (Adventhealth Infusion Center Kissimmee)
• Adventist Health System-Sunbelt, Inc (Adventhealth Poinciana ER)
• Adventist Health System-Sunbelt, Inc (Adventhealth Partin Settlement ER)
• Adventist Health System/ Sunbelt, Inc. (AdventHealth Centra Care Celebration)
• Adventist Health System/Sunbelt, Inc (AdventHealth Total Health Management AH Primary Care Plus Celebration)
• Adventist Health System/Sunbelt, Inc (AdventHealth Centra Care - Kissimmee)

• Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.