Active NPI
Richard Henriquez
- Internal Medicine Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME149582
- Practice address
- 720 W Oak St Ste 201
Kissimmee, FL 34741-4998 - Phone
- (321) 697-1730
- Fax
- (407) 518-3923
- NPI assigned
- Mar 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME149582 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
720 W Oak St Ste 201
Kissimmee, FL 34741-4998
Mailing address
720 W Oak St Ste 201
Kissimmee, FL 34741-4998
Phone (321) 697-1730
Other practice location 1
52 Underwood St
Orlando, FL 32806-1110
Phone (321) 841-3581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110641200 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6700 Lake Nona Blvd
HCA Ucf Lake Nona Medicla Center
Orlando, FL 32827-7729
Phone (689) 216-8000
Hospital & facility affiliations
- HCA Florida Osceola Hospital
- Ucf Lake Nona Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Hospital Medicine Services of FL, LLC | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1871193664
-
- General Acute Care Hospital
- Kissimmee, FL
- NPI 1689621450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1679076483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 W OAK ST STE 201",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414998",
"telephone_number": "321-697-1730",
"fax_number": "407-518-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W OAK ST STE 201",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414998",
"telephone_number": "321-697-1730",
"fax_number": "407-518-3923"
}
],
"practiceLocations": [
{
"address_1": "52 Underwood St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061110",
"country_code": "US",
"telephone_number": "321-841-3581",
"fax_number": "321-841-4085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRIQUEZ",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-18",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME149582",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110641200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.