Active NPI
Pavel Kurosh, FNP-BC
- Family Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11018085
- Practice address
- 12280 Lake Underhill Rd
Orlando, FL 32825-5009 - Phone
- (239) 224-9547
- NPI assigned
- Jun 9, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11018085 | FL | Primary |
Addresses
Primary practice location
12280 Lake Underhill Rd
Orlando, FL 32825-5009
Mailing address
1054 Cass Ave
Woonsocket, RI 02895-4935
Phone (239) 224-9547
Other practice location 1
1054 Cass Ave
Woonsocket, RI 02895-4935
Phone (401) 767-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ, RI, NH, MA, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12280 Lake Underhill Rd
Orlando, FL 32825-5009
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11018085 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Primary Care PLLC | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Maine, LLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Rhode Island, LLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of New Jersey LLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Massachusetts LLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of New Hampshire, L.L.C. | Family | Current | Accepting new patients |
| Minuteclinic LLC | Family | Current | Accepting new patients |
Locations
121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380
12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473
12280 Lake Underhill Rd
Orlando, FL 32825
Phone (407) 273-3284
8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840
7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943
270 Grove St
Braintree, MA 02184
Phone (781) 356-0714
311 Newbury St
Danvers, MA 01923
Phone (978) 605-0100
67D Main St
Medway, MA 02053
Phone (508) 533-6771
1025 Central St
Stoughton, MA 02072
Phone 7813416114 ext. 8221
51 Market St
South Portland, ME 04106
Phone (207) 799-2261
4 Hall St
Concord, NH 03301
Phone (603) 224-3189
471 Main St
Chatham, NJ 07928
Phone (973) 635-4636
4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700
307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177
1054 Cass Ave
Woonsocket, RI 02895
Phone (401) 767-3600
Interoperability endpoints
- pavel.kurosh.p51@direct.aara1.nextgenshare.com
Organizations & group practices 7
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.
-
- Family Nurse Practitioner
- South Portland, ME
- NPI 1740661461
-
- Family Nurse Practitioner
- Medway, MA
- NPI 1457470858
-
- Family Nurse Practitioner
- Sewell, NJ
- NPI 1053353615
-
- Family Nurse Practitioner
- Woonsocket, RI
- NPI 1649511841
-
- Family Medicine Physician
- Sunrise, FL
- NPI 1194668053
-
- Family Nurse Practitioner
- Concord, NH
- NPI 1477894673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1609505965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 CASS AVE",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028954935",
"telephone_number": "239-224-9547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12280 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328255009",
"telephone_number": "239-224-9547"
}
],
"practiceLocations": [
{
"address_1": "1054 Cass Ave",
"address_purpose": "LOCATION",
"city": "Woonsocket",
"state": "RI",
"postal_code": "028954935",
"country_code": "US",
"telephone_number": "401-767-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUROSH",
"first_name": "PAVEL",
"name_prefix": "Dr.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-09",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11018085",
"primary": true
}
],
"identifiers": [],
"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 Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.