NPIMap

Individual provider Active NPI

Pawel Zelenski, MD

  • Internal Medicine Physician
  • Saint Cloud, FL
National Provider Identifier
1609846633
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME72580 Issued in FL
Practice address
1330 Budinger Ave Ste 108
Saint Cloud, FL 34769-4137
Phone
(407) 892-3387
Fax
(407) 892-7297
NPI assigned
Jan 24, 2006
Last updated
Jun 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME72580 FL Primary

Addresses

Primary practice location

1330 Budinger Ave Ste 108
Saint Cloud, FL 34769-4137

Mailing address

1330 Budinger Ave Ste 108
Saint Cloud, FL 34769-4137
Phone (407) 892-3387

Other identifiers 3

IdentifierTypeStateIssuer
P00405368OtherFLRAILROAD MEDICARE
43447OtherFLBCBS
254937900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000653 FL Practitioner - Internal Medicine 7810090412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

21 Columbia St
Orlando, FL 32806-1133
Phone (321) 841-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME72580FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 3, 2020 Accepting new patients
Orlando Physicians Network Inc Internal Medicine CurrentSince Apr 20, 2021 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Dec 3, 2020 Accepting new patients

Locations

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

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

1330 Budinger Ave
Ste 108
Saint Cloud, FL 34769
Phone (407) 892-3387

1600 Budinger Ave
Ste D
Saint Cloud, FL 34769
Phone (407) 826-3006

Interoperability endpoints

  • Direct secure messaging: pzelenski179069@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1609846633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BUDINGER AVE STE 108",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694137",
            "telephone_number": "407-892-3387",
            "fax_number": "407-892-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BUDINGER AVE STE 108",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694137",
            "telephone_number": "407-892-3387",
            "fax_number": "407-892-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELENSKI",
        "first_name": "PAWEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00405368",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "43447",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254937900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.