Active NPI
Adrian Kyle Ambrose, MD
- Obstetrics & Gynecology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME164174
- Practice address
- 9679 Lake Nona Village PL
Orlando, FL 32827-7310 - Phone
- (407) 277-9242
- Fax
- (407) 636-7805
- NPI assigned
- May 21, 2019
- Last updated
- Aug 15, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | FL | ||
| Obstetrics & Gynecology Physician | 207V00000X | ME164174 | FL | Primary |
Addresses
Primary practice location
9679 Lake Nona Village PL
Orlando, FL 32827-7310
Mailing address
9679 Lake Nona Village PL
Orlando, FL 32827-7310
Phone (407) 277-9242
Other practice location 1
1401 Lucerne Ter # Mp818
Orlando, FL 32806-2001
Phone (321) 841-5297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119191900 | 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
- Obstetrics/Gynecology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9679 Lake Nona Village PL
Suite 101
Orlando, FL 32827-7310
Phone (407) 277-9242
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Physician Associates LLC | Past | Accepting new patients |
Locations
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
9679 Lake Nona Village Pl
Ste 101
Orlando, FL 32827
Phone (407) 261-2934
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Obstetrics & Gynecology
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Internal Medicine Physician
- Windermere, FL
- NPI 1356834592
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
dba St Cloud Regional Medical Center
- General Acute Care Hospital
- Saint Cloud, FL
- NPI 1164478442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1770140113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9679 LAKE NONA VILLAGE PL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277310",
"telephone_number": "407-277-9242",
"fax_number": "407-636-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9679 LAKE NONA VILLAGE PL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277310",
"telephone_number": "407-277-9242",
"fax_number": "407-636-7805"
}
],
"practiceLocations": [
{
"address_1": "1401 Lucerne Ter # Mp818",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062001",
"country_code": "US",
"telephone_number": "321-841-5297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMBROSE",
"first_name": "ADRIAN",
"middle_name": "KYLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-21",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME164174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119191900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Desiree Amboree
- Rhea Ambray, NP-C
- Georges Kopell Ambroise, OTR
- Yansmith Ambroise, MD
- Fernanda Bacchi Ambrosano Giarreta, PT
- Lyudmila Vitalia Ambrose, TAXONOMY MSW
- Zohreh Ambrose, CRNA
- Patricia Louise Ambrosio, D.O.
- Christopher Ambs, MD
- Ambulatory Ankle & Foot Center of Florida Inc (Ambulatory Ankle & Foot Center of FL)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.