NPIMap

Individual provider Active NPI

Michael Angelis, MD

  • Transplant Surgery Physician
  • Orlando, FL
National Provider Identifier
1770577504
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
ME 78250 Issued in FL
Practice address
2415 N Orange Ave
Suite 700
Orlando, FL 32804-5505
Phone
(407) 303-2474
Fax
(407) 303-0680
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 12

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group Inc 1,735 clinicians

Practice addresses (Care Compare)

2415 N Orange Ave
Suite 700
Orlando, FL 32804-5521
Phone (407) 303-2474

2501 N Orange Ave
Orlando, FL 32804-4641

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

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
I20100902000148 FL Practitioner - General Surgery 1355465055 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 78250FLMDSurgery Physician

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Transplant Surgery CurrentSince Feb 28, 2017 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 28, 2017 Accepting new patients

Locations

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

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

2501 N Orange Ave
Ste 235
Orlando, FL 32804
Phone (407) 303-1967

2415 N Orange Ave
Ste 700
Orlando, FL 32804
Phone (407) 303-2474

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mangelis73526@adventhealth.direct-ci.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X ME 78250 FL Primary
Surgery Physician 208600000X ME 78250 FL

Addresses

NPPES NPI Registry

Primary practice location

2415 N Orange Ave
Suite 700
Orlando, FL 32804-5505

Mailing address

2415 N Orange Ave
Suite 700
Orlando, FL 32804-5505
Phone (407) 303-2474

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2016.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1770577504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 N ORANGE AVE",
            "address_2": "SUITE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045505",
            "telephone_number": "407-303-2474",
            "fax_number": "407-303-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 N ORANGE AVE",
            "address_2": "SUITE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045505",
            "telephone_number": "407-303-2474",
            "fax_number": "407-303-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELIS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "FL",
            "license": "ME 78250",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 78250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.