Individual provider Active NPI

Fredely Petiote, M.D.

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1639599194
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME161341 Issued in FL
Practice address
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone
(253) 922-4027
Fax
(844) 222-0800
NPI assigned
Apr 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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 ME161341 FL Primary

Addresses

Primary practice location

111 N Orange Ave Ste 800
Orlando, FL 32801-2381

Mailing address

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (313) 427-7645

Other practice location 1

4513 NW 31st Ave
Oakland Park, FL 33309-3403
Phone (313) 427-7645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, GA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170906000801 AR Practitioner - Internal Medicine 4981905692 Reassigns benefits to 1 organization
I20200812000639 GA Practitioner - Internal Medicine 4981905692 Reassigns benefits to 1 organization
I20230413000461 FL Practitioner - Internal Medicine 4981905692 Reassigns benefits to 5 organizations
Practice locations: Melbourne, FL

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.42 of 100Reported as apm
Quality
55.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME161341FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Florida PLLC Internal Medicine CurrentSince Jun 28, 2025 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Apr 30, 2024 Accepting new patients
Prime Physicians LLC CurrentSince Jan 19, 2019 Accepting new patients
Central Florida Inpatient Medicine LLC Internal Medicine CurrentSince Mar 13, 2023 Accepting new patients
Houston Hospitalist Group LLC CurrentSince Jul 1, 2020 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Apr 30, 2024 Accepting new patients
Houston Hospitalist Group LLC CurrentSince Jul 1, 2020 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince Oct 23, 2023 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine Current Accepting new patients

Locations

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

1001 Towson Ave
Ofc
Fort Smith, AR 72901
Phone (479) 441-3396

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644

1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777

1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

1010 Carpenters Way
Lakeland, FL 33809
Phone (813) 505-8889

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690

601 E Rollins St
Ste 400
Orlando, FL 32803
Phone (407) 228-6573

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1639599194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N ORANGE AVE STE 800",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012381",
            "telephone_number": "313-427-7645",
            "fax_number": "844-222-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N ORANGE AVE STE 800",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012381",
            "telephone_number": "253-922-4027",
            "fax_number": "844-222-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4513 NW 31st Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333093403",
            "country_code": "US",
            "telephone_number": "313-427-7645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETIOTE",
        "first_name": "FREDELY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME161341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.