NPIMap

Individual provider Active NPI

Marc Patrick Underhill, M.D.

  • Diagnostic Radiology Physician
  • Orlando, FL
National Provider Identifier
1619188661
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME143305 Issued in FL
Practice address
52 W Underwood St
Orlando, FL 32806-1110
Phone
(321) 842-8475
NPI assigned
May 24, 2007
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01069066A IN
Diagnostic Radiology Physician 2085R0202X ME143305 FL Primary

Addresses

Primary practice location

52 W Underwood St
Orlando, FL 32806-1110

Mailing address

52 W Underwood St
Orlando, FL 32806-1110
Phone (321) 842-8475

Other identifiers 6

IdentifierTypeStateIssuer
NDWHROtherFLBCBS
PS688OtherFLMEDICARE PTAN OHMG
MH000OtherFLMEDICARE PTAN OHRI
106130600MedicaidFL
M400062727OtherINMEDICARE SVMG
201011260MedicaidIN

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
I20200502000230 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8022155464 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Indiana University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians
Ohri LLCGroup PAC ID 4981912169, 130 clinicians

Practice addresses (Care Compare)

1414 Kuhl Ave
Orlando, FL 32806-2008
Phone (407) 841-5111

398 E Altamonte Dr
Altamonte Springs, FL 32701-4402
Phone (407) 331-9355

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohri, LLC CurrentSince May 1, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Ohi West Medical Group, LLC Diagnostic Radiology CurrentSince Nov 2, 2023 Accepting new patients
Ohri, LLC Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
Ohi West Medical Group, LLC Current Accepting new patients
Ohi West Medical Group, LLC CurrentSince Dec 11, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology PastSince May 15, 2024 Accepting new patients
Pro Rad, Inc Diagnostic Radiology Past Accepting new patients

Locations

398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955

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

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

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

9400 Turkey Lake Rd
#P
Orlando, FL 32819
Phone (407) 351-8519

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: marc.underhill.1@7598.direct.athenahealth.com

Organizations & group practices 9

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1619188661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W UNDERWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-842-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 W UNDERWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-842-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERHILL",
        "first_name": "MARC",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01069066A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME143305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NDWHR",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OHMG",
            "identifier": "PS688",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OHRI",
            "identifier": "MH000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106130600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SVMG",
            "identifier": "M400062727",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201011260",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.