Individual provider Active NPI

Rosa Zissimos, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Kissimmee, FL
National Provider Identifier
1609304054
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME148235 Issued in FL
Practice address
1001 E Osceola Pkwy
Kissimmee, FL 34744-1616
Phone
(321) 841-1570
Fax
(321) 841-1569
NPI assigned
May 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TL0006681 CO
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME148235 FL Primary

Addresses

Primary practice location

1001 E Osceola Pkwy
Kissimmee, FL 34744-1616

Mailing address

1001 E Osceola Pkwy
Kissimmee, FL 34744-1616
Phone (321) 841-1570

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
I20220610002068 FL Practitioner - Pain Management 6406126176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Colorado School of Medicine, Denver, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1001 E Osceola Pkwy
Kissimmee, FL 34744-1616
Phone (321) 841-6444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148235FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician
TL0006681COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jul 15, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 15, 2022 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

1001 E Osceola Pkwy
Kissimmee, FL 34744
Phone (321) 842-1270

1001 E Osceola Pkwy
Ste 250
Kissimmee, FL 34744
Phone (321) 841-6308

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rzissimos358478@orlandohealth.medalliesdirect.net
  • Direct secure messaging: rzissimos371872@direct.llu.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1609304054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441616",
            "telephone_number": "321-841-1570",
            "fax_number": "321-841-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441616",
            "telephone_number": "321-841-1570",
            "fax_number": "321-841-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISSIMOS",
        "first_name": "ROSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL0006681",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME148235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.