Individual provider Active NPI

Nadia H Dao, MD

  • General Practice Physician
  • Lakeland, FL
National Provider Identifier
1619339140
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1084 Issued in FL
Practice address
1129 N Missouri Ave
Lakeland, FL 33805-4411
Phone
(866) 234-8534
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1084 FL Primary

Addresses

Primary practice location

1129 N Missouri Ave
Lakeland, FL 33805-4411

Mailing address

47 5TH St NW
Winter Haven, FL 33881-4672
Phone (866) 234-8534

Other practice location 1

7900 Forest City Rd
Orlando, FL 32810-3002
Phone (407) 905-8827

Other practice location 2

1389 S US 301
Sumterville, FL 33585-5143
Phone (352) 793-5900

Other identifiers 2

IdentifierTypeStateIssuer
100581100MedicaidFL
Z4DMQOtherFLBLUE CROSS/BLUE SHIELD

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
I20180925003707 FL Practitioner - General Practice 2466703723 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc Current Accepting new patients
Community Health Centers, Inc. CurrentSince Feb 21, 2022 Accepting new patients
Central Florida Health Care, Inc CurrentSince Sep 19, 2024 Accepting new patients
Community Health Centers, Inc Current Accepting new patients
Central Florida Health Care, Inc. Current Accepting new patients
Central Florida Health Care, Inc. CurrentSince Sep 19, 2024 Accepting new patients
Community Health Centers, Inc CurrentSince Feb 21, 2022 Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc Past Accepting new patients
Central Florida Health Care, Inc. General Practice Past Accepting new patients
Central Florida Health Care, Inc Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care Inc Past Accepting new patients
Central Florida Health Care Inc Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients

Locations

225 E 7th St
Apopka, FL 32703
Phone (407) 886-6201

950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000

1190 E Church St
Bartow, FL 33830
Phone (863) 533-1601

130 Ridge Center Dr
Davenport, FL 33837
Phone (866) 234-8535

109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891

705 Ingraham Ave
Haines City, FL 33844
Phone (863) 291-3314

305 W Central Ave
Lake Wales, FL 33853
Phone (863) 678-4144

305 W Central Ave
Fl Heal
Lake Wales, FL 33853

601 S Florida Ave
Ste 6
Lakeland, FL 33801
Phone (863) 688-0841

1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600

903 Lowry Ave
Lakeland, FL 33801

106 NW 9th Ave
Mulberry, FL 33860
Phone (863) 425-6200

7900 Forest City Rd
Orlando, FL 32810
Phone (407) 614-5337

840 Mercy Dr
Pine Hills, FL 32808

212 E Main St
Tavares, FL 32778
Phone (352) 314-7409

807 Cobb Ct
Wauchula, FL 33873

110 S Woodland St
Winter Garden, FL 34787

1514 1st St N
Winter Haven, FL 33881
Phone (863) 291-5110

47 5th St NW
Winter Haven, FL 33881

201 Magnolia Ave SW
Winter Haven, FL 33880
Phone (863) 229-7950

Interoperability endpoints

  • Direct secure messaging: nadia.dao.1@12125.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1619339140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672",
            "telephone_number": "866-234-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 N MISSOURI AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054411",
            "telephone_number": "866-234-8534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Forest City Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328103002",
            "country_code": "US",
            "telephone_number": "407-905-8827",
            "fax_number": "407-660-1667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1389 S US 301",
            "address_purpose": "LOCATION",
            "city": "Sumterville",
            "state": "FL",
            "postal_code": "335855143",
            "country_code": "US",
            "telephone_number": "352-793-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAO",
        "first_name": "NADIA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100581100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Z4DMQ",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.