Individual provider Active NPI

Ksenia A. Orlova, MD

  • Vascular Surgery Physician
  • Stuart, FL
National Provider Identifier
1689968299
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME160459 Issued in FL
Practice address
1001 SE Monterey Commons Blvd Ste 300
Stuart, FL 34996-3329
Phone
(772) 286-9400
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME160459 FL Primary

Addresses

Primary practice location

1001 SE Monterey Commons Blvd Ste 300
Stuart, FL 34996-3329

Mailing address

1001 SE Monterey Commons Blvd Ste 300
Stuart, FL 34996-3329

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
I20230207003635 FL Practitioner - Vascular Surgery 5092006403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stuart Cardiology Group LLCGroup PAC ID 7113959313, 43 clinicians

Practice addresses (Care Compare)

1001 SE Monterey Comm
Suite 300
Stuart, FL 34996-3329
Phone (772) 286-9400

Hospital & facility affiliations

  • Activa Home Health Home health agency, Stuart, FL, CCN 108113
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • CCN 100366 Hospital, CCN 100366

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal39
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialists of Ocala PA Vascular Surgery CurrentSince Feb 1, 2023 Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Venanet Palm Beach, P.a. Vascular Surgery Current Accepting new patients
Stuart Cardiology Group LLC CurrentSince Apr 2, 2025 Accepting new patients

Locations

1032 Mar Walt Dr
Unit 250
Ft Walton Bch, FL 32547
Phone (850) 682-0032

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

1920 SW 20th Pl
Ste 100
Ocala, FL 34471
Phone (352) 237-1212

1920 SW 20th Pl
Ste 201
Ocala, FL 34471
Phone (352) 237-1212

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853

11380 SW Village Pkwy
Ste 300
Port St Lucie, FL 34987

310 SE Veranda Falls Way
Port St Lucie, FL 34984
Phone (561) 800-4111

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1001 SE Monterey Commons Blvd
Ste 300
Stuart, FL 34996
Phone (561) 286-9400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72321
  • Direct secure messaging: ksenia.orlova.p1@direct.scg.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1689968299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE MONTEREY COMMONS BLVD STE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE MONTEREY COMMONS BLVD STE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963329",
            "telephone_number": "772-286-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLOVA",
        "first_name": "KSENIA",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME160459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.