Individual provider Active NPI

Drew Alan Rideout, M.D.

  • Pediatric Surgery Physician
  • Orlando, FL
National Provider Identifier
1740472398
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
ME99466 Issued in FL
Practice address
6535 Nemours Pkwy
Orlando, FL 32827-7884
Phone
(407) 650-7000
Fax
(407) 567-5924
NPI assigned
Aug 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X ME99466 FL Primary
Surgery Physician 208600000X ME99466 FL

Addresses

Primary practice location

6535 Nemours Pkwy
Orlando, FL 32827-7884

Mailing address

11211 Carrollwood Dr
Tampa, FL 33618-3701
Phone (813) 395-1120

Other practice location 1

601 5th St S
OCC 3rd floor
St Petersburg, FL 33701-4804
Phone (727) 767-4170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130729000150 FL Practitioner - General Surgery 8426299835 Reassigns benefits to 2 organizations
I20240906001063 VA Practitioner - General SurgeryPractitioner - Pediatric Medicine 8426299835 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Physician Services, Inc. Pediatric Surgery CurrentSince Apr 28, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 24, 2025 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc Surgery CurrentSince Mar 24, 2025 Accepting new patients
MCV Associated Physicians CurrentSince Jul 1, 2024 Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

5881 Rand Blvd
Sarasota, FL 34238
Phone (727) 822-7344

601 5th St S
Fl Box
St Petersburg, FL 33701
Phone (727) 767-4429

601 5th St S
Ste 3
St Petersburg, FL 33701
Phone (727) 767-4170

601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

601 5th St S
St Petersburg, FL 33701
Phone (727) 767-3333

3100 E Fletcher Ave
Ste 126
Tampa, FL 33613
Phone (813) 467-4242

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1000 E Broad St
Richmond, VA 23219

Interoperability endpoints

  • Direct secure messaging: drideout733119@direct.hopkinsmedicine.org
  • Direct secure messaging: drideout189508@orlandohealth.medalliesdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1740472398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 CARROLLWOOD DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183701",
            "telephone_number": "813-395-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 NEMOURS PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277884",
            "telephone_number": "407-650-7000",
            "fax_number": "407-567-5924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 5th St S",
            "address_2": "OCC 3rd floor",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014804",
            "country_code": "US",
            "telephone_number": "727-767-4170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDEOUT",
        "first_name": "DREW",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME99466",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME99466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.