Active NPI
Nelson Medina Villanueva
- Critical Care Medicine (Internal Medicine) Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- ME119501
- Practice address
- 3480 Polynesian Isle Blvd
Kissimmee, FL 34746-4654 - Phone
- (877) 352-5864
- NPI assigned
- Jan 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17747 | PR | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME119501 | FL | Primary |
Addresses
Primary practice location
3480 Polynesian Isle Blvd
Kissimmee, FL 34746-4654
Mailing address
201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-6639
Other practice location 1
15540 W Colonial Dr
Winter Garden, FL 34787-9556
Phone (877) 352-5864
Other practice location 2
201 Lyons Ave
Pulmonary/ Critical Care Fellowship
Newark, NJ 07112-2027
Phone (973) 926-6639
Other practice location 3
717 E Michigan St
Orlando, FL 32806-4645
Phone (877) 352-5864
Other practice location 4
4553 Pleasant Hill Rd
Kissimmee, FL 34759-3422
Phone (877) 352-5864
Other practice location 5
10920 Moss Park Rd Ste 100
Orlando, FL 32832-6087
Phone (877) 352-5864
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
- Pulmonary Disease
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4553 Pleasant Hill Rd
Kissimmee, FL 34759-3422
Phone (407) 483-8965
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.35 of 100
- Quality
- 93.32
- Improvement activities
- 40
- Cost
- 83.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17747 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Single Specialty | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Respro Sleep | Single Specialty | Current | Accepting new patients |
| Florida Lung Asthma and Sleep Specialists, P.a. | Single Specialty | Current | Accepting new patients |
Locations
3480 Polynesian Isle Blvd
Kissimmee, FL 34746
Phone (407) 507-2615
2940 Mallory Cir
Ste 204
Kissimmee, FL 34747
Phone (407) 507-2615
4553 Pleasant Hill Rd
Kissimmee, FL 34759
Phone (407) 483-8965
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
717 E Michigan St
Orlando, FL 32806
Phone (407) 515-8585
10920 Moss Park Rd
Ste 100
Orlando, FL 32832
Phone (321) 325-9997
10929 Moss Park Rd Ste 118
Ste 118
Orlando, FL 32832
15540 W Colonial Dr
Winter Garden, FL 34787
Phone (877) 352-5864
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- nelson.medinavillanueva@direct.flass.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/FGCHDD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Kissimmee, FL
- NPI 1316228364
Single Specialty
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Single Specialty
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Sleep Medicine (Internal Medicine) Physician
- Atlanta, GA
- NPI 1013752310
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba Orlando Health South Lake Hospital
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1790016160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 LYONS AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122027",
"telephone_number": "973-926-6639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 POLYNESIAN ISLE BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347464654",
"telephone_number": "877-352-5864"
}
],
"practiceLocations": [
{
"address_1": "15540 W Colonial Dr",
"address_purpose": "LOCATION",
"city": "Winter Garden",
"state": "FL",
"postal_code": "347879556",
"country_code": "US",
"telephone_number": "877-352-5864",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 Lyons Ave",
"address_2": "Pulmonary/ Critical Care Fellowship",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071122027",
"country_code": "US",
"telephone_number": "973-926-6639",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "717 E Michigan St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328064645",
"country_code": "US",
"telephone_number": "877-352-5864",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4553 Pleasant Hill Rd",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347593422",
"country_code": "US",
"telephone_number": "877-352-5864",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10920 Moss Park Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328326087",
"country_code": "US",
"telephone_number": "877-352-5864",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDINA VILLANUEVA",
"first_name": "NELSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-24",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PR",
"license": "17747",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME119501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.