NPIMap

Individual provider Active NPI

Prakash Motwani, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1750692208
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME114427 Issued in FL
Practice address
4108 N Mira Blvd
Orlando, FL 32817-1534
Phone
(407) 440-3004
Fax
(407) 429-3899
NPI assigned
Jun 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME114427 FL Primary
Family Medicine Physician 207Q00000X 125057476 IL

Addresses

Primary practice location

4108 N Mira Blvd
Orlando, FL 32817-1534

Mailing address

PO Box 677879
Orlando, FL 32867-7879
Phone (407) 440-3004

Other practice location 1

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131204001129 FL Practitioner - Family Practice 0446490908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125057476ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc CurrentSince Sep 30, 2015 Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jul 1, 2019 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Sep 30, 2015 Accepting new patients
Cogent Healthcare of Illinois, LLC Family Medicine Past Accepting new patients
Specialists of Ocala, LLC Past Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pmotwani58942@adventhealth.direct-ci.com

Organizations & group practices 7

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1750692208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677879",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328677879",
            "telephone_number": "407-440-3004",
            "fax_number": "407-429-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 N MIRA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171534",
            "telephone_number": "407-440-3004",
            "fax_number": "407-429-3899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Saxon Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638468",
            "country_code": "US",
            "telephone_number": "386-917-7560",
            "fax_number": "386-917-7293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTWANI",
        "first_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114427",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125057476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.