Active NPI
Peter M. Motolenich, M.D.
- Anesthesiology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME133581
- Practice address
- 601 E Rollins St
Orlando, FL 32803-1248 - Phone
- (407) 667-0444
- Fax
- (407) 667-4338
- NPI assigned
- Jun 10, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35-081655 | OH | |
| Anesthesiology Physician | 207L00000X | ME133581 | FL | Primary |
Addresses
Primary practice location
601 E Rollins St
Orlando, FL 32803-1248
Mailing address
851 Trafalgar CT Ste 200E
Maitland, FL 32751-7420
Phone (407) 667-0444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2581166 | Medicaid | OH | |
| P00235244 | Other | OH | MEDICARE RAILROAD |
| 100936800 | 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
- Anesthesiology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Celebration PL
Celebration, FL 34747-4970
Phone (407) 764-4000
410 Celebration PL
Suite 408
Celebration, FL 34747-5436
Phone (407) 650-0051
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
951 N Washington Ave
Titusville, FL 32796-2163
Phone (321) 268-6111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME133581 | FL | MD | Anesthesiology Physician |
| 35-081655 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parrish Anesthesia Specialist, LLC | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
12961 Palms West Dr
Loxahatchee, FL 33470
Phone (561) 793-0437
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Titusville, FL
- NPI 1780997023
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1275973778
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553990400000",
"number": "1700827623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 TRAFALGAR CT STE 200E",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517420",
"telephone_number": "407-667-0444",
"fax_number": "407-667-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ROLLINS ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-667-0444",
"fax_number": "407-667-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTOLENICH",
"first_name": "PETER",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2019-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35-081655",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME133581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2581166",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00235244",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100936800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; 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.