Individual provider Active NPI

Ferdinand Christopher Manlio, DO

  • Dermatology Physician
  • Kissimmee, FL
National Provider Identifier
1669444113
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS8379 Issued in FL
Practice address
903 N Central Ave
Kissimmee, FL 34741-5029
Phone
(407) 910-4710
Fax
(407) 201-7983
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS 8379 FL
Dermatology Physician 207N00000X OS8379 FL Primary

Addresses

Primary practice location

903 N Central Ave
Kissimmee, FL 34741-5029

Mailing address

903 N Central Ave
Kissimmee, FL 34741-5029
Phone (407) 910-4710

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
I20050707000651 FL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4880630276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Nova Southeastern College of Osteo Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

903 N Central Ave
Kissimmee, FL 34741-5029
Phone (407) 910-4710

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal of skin lesions657
Removal of skin cancer221
Removal or shaving of skin growth1-10
Skin biopsy300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 8379FLMDDermatology Physician
OS8379FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
F. Christopher Manlio, DO, PA Dermatology CurrentSince Jan 16, 2007 Accepting new patients
Dermatology of Century Village WPB LLC Dermatology Past Accepting new patients
Skin and Cancer Associates Dermatology PastSince Feb 1, 2021 Accepting new patients

Locations

903 N Central Ave
Kissimmee, FL 34741
Phone (407) 705-5100

10920 Moss Park Rd
Ste 112
Orlando, FL 32832

10920 Moss Park Rd
Ste 200
Orlando, FL 32832
Phone (407) 846-0533

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669444113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415029",
            "telephone_number": "407-910-4710",
            "fax_number": "407-201-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415029",
            "telephone_number": "407-910-4710",
            "fax_number": "407-201-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLIO",
        "first_name": "FERDINAND",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS 8379",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS8379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.