Active NPI
Bodo E Pyko, D.O.
- Diagnostic Radiology Physician
- Orlando, FL
National Provider Identifier
1538264106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS 1683
- Practice address
- 8609 Forest City Rd
Orlando, FL 32810-2262 - Phone
- (321) 278-4464
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS 1683 | FL | Primary |
| General Practice Physician | 208D00000X | OS1683 | FL |
Addresses
Primary practice location
8609 Forest City Rd
Orlando, FL 32810-2262
Mailing address
8609 Forest City Rd
Orlando, FL 32810-2262
Phone (321) 278-4464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81586 | Other | FL | BLUECROSS BLUE SHIELD |
| 0788829 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 1683 | FL | MD | Diagnostic Radiology Physician |
| OS1683 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fla Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Medicine Physician
- Orlando, FL
- NPI 1770872814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1538264106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8609 FOREST CITY RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328102262",
"telephone_number": "321-278-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8609 FOREST CITY RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328102262",
"telephone_number": "321-278-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYKO",
"first_name": "BODO",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS 1683",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "OS1683",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "81586",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0788829",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.