Active NPI
Daniel T Colombo, MD
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1568750933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME149568
- Practice address
- 9679 Lake Nona Village PL Ste 101
Orlando, FL 32827-7310 - Phone
- (407) 261-2934
- Fax
- (407) 636-7811
- NPI assigned
- Jul 19, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9889 | NV | |
| Pediatrics Physician | 208000000X | ME149568 | FL | Primary |
Addresses
Primary practice location
9679 Lake Nona Village PL Ste 101
Orlando, FL 32827-7310
Mailing address
9679 Lake Nona Village PL Ste 101
Orlando, FL 32827-7310
Phone (407) 261-2934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115987800 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME149568 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Physicians Network Inc | Past | Accepting new patients | |
| Orlando Health Medical Group Inc | Pediatrics | Past | Accepting new patients |
| Physician Associates LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- dcolombo407736@orlandohealth.medalliesdirect.net
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.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1568750933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9679 LAKE NONA VILLAGE PL STE 101",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277310",
"telephone_number": "407-261-2934",
"fax_number": "407-636-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9679 LAKE NONA VILLAGE PL STE 101",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277310",
"telephone_number": "407-261-2934",
"fax_number": "407-636-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLOMBO",
"first_name": "DANIEL",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-19",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "9889",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME149568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115987800",
"state": "FL"
}
],
"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 Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.