Individual provider Active NPI

Michelle Nguyen, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1720026677
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME19567 Issued in FL
Practice address
10743 Narcoossee Rd Ste A18
Orlando, FL 32832-6947
Phone
(407) 277-1900
Fax
(407) 277-1888
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME19567 FL Primary

Addresses

Primary practice location

10743 Narcoossee Rd Ste A18
Orlando, FL 32832-6947

Mailing address

10743 Narcoossee Rd
Suite a-18
Orlando, FL 32832-6944
Phone (407) 277-1900

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
I20060313000647 FL Practitioner - Family Practice 2567479751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10743 Narcoossee Rd
Suite A18
Orlando, FL 32832-6947
Phone (407) 277-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME19567FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt, Inc CurrentSince Dec 30, 2010 Accepting new patients
Adventist Health System Sunbelt Inc Family Medicine Current Accepting new patients
Adventist Health Systems Sunbelt Inc Family Medicine CurrentSince Dec 30, 2010 Accepting new patients

Locations

901 North Lake Destiny Rd
Ste 400
Maitland, FL 32751
Phone (407) 200-2860

7975 Lake Underhill Rd
Ste 200
Orlando, FL 32822
Phone (407) 303-5990

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 5

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1720026677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10743 NARCOOSSEE RD",
            "address_2": "SUITE A-18",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326944",
            "telephone_number": "407-277-1900",
            "fax_number": "407-277-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10743 NARCOOSSEE RD STE A18",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326947",
            "telephone_number": "407-277-1900",
            "fax_number": "407-277-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME19567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.