NPIMap

Individual provider Active NPI

Indranil Debnath, MD

  • Otolaryngology Physician
  • Winter Park, FL
National Provider Identifier
1649488735
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2004001440 Issued in MO
Practice address
7251 University Blvd
Suite 300
Winter Park, FL 32792-8659
Phone
(407) 677-0099
Fax
(407) 352-1867
NPI assigned
May 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2004001440 MO Primary

Addresses

Primary practice location

7251 University Blvd
Suite 300
Winter Park, FL 32792-8659

Mailing address

7251 University Blvd
Suite 300
Winter Park, FL 32792-8659
Phone (407) 677-0099

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
I20141219000616 FL Practitioner - Otolaryngology 9537112297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Tennessee, HSC, College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Otolaryngology Group, P.a.Group PAC ID 7618911306, 12 clinicians

Practice addresses (Care Compare)

1781 Park Ctr Dr
Suite 210
Orlando, FL 32835-6254
Phone (407) 351-0675

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard I. Ecker Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 13, 2019 Accepting new patients
Florida Otolaryngology Group, P.a. Otolaryngology CurrentSince Jan 1, 2015 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 13, 2019 Accepting new patients
Ozarks Medical Center Otolaryngology Past Accepting new patients
St Louis Sinus & Sleep Centers, LLC PastSince Jan 1, 2013 Accepting new patients
Midwest Sinus Sleep & Allergy Associates, LLC Otolaryngology Past Accepting new patients

Locations

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

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

1781 Park Center Dr
Ste 210
Orlando, FL 32835
Phone (407) 351-0675

7251 University Blvd
Ste 300
Winter Park, FL 32792
Phone (407) 677-0099

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: nickindranildebnath@fogpa.allscriptsdirect.net

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, 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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1649488735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 UNIVERSITY BLVD",
            "address_2": "SUITE 300",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928659",
            "telephone_number": "407-677-0099",
            "fax_number": "407-352-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 UNIVERSITY BLVD",
            "address_2": "SUITE 300",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928659",
            "telephone_number": "407-677-0099",
            "fax_number": "407-352-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBNATH",
        "first_name": "INDRANIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2004001440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.