Individual provider Active NPI

Daniel Enrique Urdaneta, M.D.

  • General Practice Physician
  • Longwood, FL
National Provider Identifier
1649587908
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME120984 Issued in FL
Practice address
280 Wekiva Springs Rd Ste 1000
Longwood, FL 32779-6098
Phone
(407) 788-2273
Fax
(407) 389-2273
NPI assigned
Sep 8, 2010
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 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 ME120984 FL Primary

Addresses

Primary practice location

280 Wekiva Springs Rd Ste 1000
Longwood, FL 32779-6098

Mailing address

PO Box 878
Davenport, FL 33836-0878
Phone (689) 223-3898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170126000572 FL Practitioner - General Practice 6507148525 Reassigns benefits to 1 organization
I20220824000538 FL Practitioner - Family Practice 6507148525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Leonard Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Doctors Center IncGroup PAC ID 9133020787, 11 clinicians

Practice addresses (Care Compare)

280 Wekiva Springs Rd
Longwood, FL 32779-6098
Phone (407) 788-2273

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Mississippi-TCG, Inc. CurrentSince Jan 1, 2023 Accepting new patients
The Doctors Center Inc CurrentSince Sep 16, 2024 Accepting new patients
Central Florida Inpatient Medicine LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

305 E Oak St
Apopka, FL 32703
Phone (407) 880-2265

2255 Dunn Ave
Ste 100
Jacksonville, FL 32218
Phone (904) 292-0322

1290 Celebration Blvd
Kissimmee, FL 34747
Phone (321) 337-7400

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

280 Wekiva Springs Rd
Ste 1000
Longwood, FL 32779
Phone (407) 788-2273

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

210 Lake Ave
Orlando, FL 32801
Phone (407) 422-4103

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: daniel.urdaneta.1@25165.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1649587908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360878",
            "telephone_number": "689-223-3898",
            "fax_number": "689-223-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 WEKIVA SPRINGS RD STE 1000",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327796098",
            "telephone_number": "407-788-2273",
            "fax_number": "407-389-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URDANETA",
        "first_name": "DANIEL",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME120984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.