Fanor Manuel Saavedra Pozo, M.D.
Individual provider Active NPI Neurological Surgery Physician · Orlando, FL
NPI 1669679072 · NPPES record last updated Apr 29, 2020
Key facts
- NPI
- 1669679072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- ME134447 (FL)
- Practice address
- 89 W Copeland Dr
Orlando, FL 32806-2002 - Phone
- (321) 841-7550
- Fax
- (321) 841-8185
- NPI assigned
- Jun 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Neurosurgery
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, Inc
Ability Health Services and Rehabilitation LP
Orlando Health Medical Group Inc
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
89 W Copeland Dr
Orlando, FL 32806-2002
Phone (321) 841-7550
Hospital & facility affiliations
- Kassy Home Health
- Orlando Health
- Orlando Health St Cloud Hospital
- Orlando Health-Health Central Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 35 |
| Laminectomy or laminotomy (partial removal of spine bones) | 18 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PR, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130709000626 | PR | Practitioner - Neurosurgery | 3173773470 |
Reassigns benefits to 1 organization Practice locations: San Juan, PR |
| I20200325001189 | FL | Practitioner - Neurosurgery | 3173773470 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17215 | PR | MD | Neurological Surgery Physician |
Practice roles (6 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current |
Accepting new patients | |
| Recinto de Ciencias Medicas | Multi-Specialty | Current |
Accepting new patients |
| Recinto de Ciencias Medicas | Multi-Specialty | Current |
Accepting new patients |
| Orlando Health Medical Group Inc | Multi-Specialty | Current |
Accepting new patients |
| Cla Radio Surgery Group Inc. | Past | Accepting new patients |
Locations
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
89 W Copeland Dr
Orlando, FL 32806
Phone (407) 237-6333
Udh Centro Medico De Puerto Rico
San Juan, PR 00935
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- fsaavedrapozo201319@orlandohealth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 17215 | PR | |
| Neurological Surgery Physician |
207T00000X | ME134447 | FL | Yes |
Addresses
Primary practice location
89 W Copeland Dr
Orlando, FL 32806-2002
Mailing address
89 W Copeland Dr
Orlando, FL 32806-2002
Phone (321) 841-7550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105577300 | Medicaid | FL |
NPI Registry JSON
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1669679072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 W COPELAND DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062002",
"telephone_number": "321-841-7550",
"fax_number": "321-841-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 W COPELAND DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062002",
"telephone_number": "321-841-7550",
"fax_number": "321-841-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAAVEDRA POZO",
"first_name": "FANOR",
"middle_name": "MANUEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "PR",
"license": "17215",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME134447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105577300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- S a Neurology LLC
- S. David Spector Cardiovascular Surgery P a
- S. Ellis Homecare Services, LLC
- S.Keith Mahan DDS,PA
- Sa-PG-Orlando LLC
- Lillian T. Saavedra
- Oswald T Saavedra
- Saikou Micheal Sabally
- Merito Mifo B. Sabangan
- Brent Sabarre
All providers in Orlando, FL · Neurological Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.