Individual provider Active NPI

Jose E Piovanetti Jr., M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1851382881
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ACN838 Issued in FL
Practice address
7824 Lake Underhill Rd Ste E
Orlando, FL 32822-8201
Phone
(407) 282-2001
Fax
(407) 286-6064
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X ACN838 FL
General Practice Physician 208D00000X ACN838 FL
General Practice Physician 208D00000X 12736 PR
Family Medicine Physician 207Q00000X ACN838 FL Primary

Addresses

Primary practice location

7824 Lake Underhill Rd Ste E
Orlando, FL 32822-8201

Mailing address

5104 Kingwell Cir
Oviedo, FL 32765-9092
Phone (787) 615-4884

Other practice location 1

5425 S Semoran Blvd Ste 20
Orlando, FL 32822-1748
Phone (407) 734-1273

Other identifiers 3

IdentifierTypeStateIssuer
12736OtherPRSTATE LICENSE
ACN838OtherFLFLORIDA MEDICAL BOARD
DM-12593-3OtherPRSTATE CONTROL SUBS. LIC.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170825002656 FL Practitioner - General Practice 1355613340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University Central del Caribe Escuela de Medicina, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Psychiatric ServicesGroup PAC ID 4981901444, 6 clinicians
Integrated Medical Care LLCGroup PAC ID 2668510587, 2 clinicians

Practice addresses (Care Compare)

5449 S Semoran Blvd
Suite 20
Orlando, FL 32822-1778
Phone (407) 734-1273

7824 Lake Underhill Rd
Suite E
Orlando, FL 32822-8201
Phone (407) 282-2001

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN838FLMDGeneral Practice Physician
12736PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Future Group Support Services, LLC CurrentSince Jan 19, 2023 Accepting new patients
Integrated Medical Care, LLC CurrentSince Jul 30, 2017 Accepting new patients
Professional Psychiatric Services, LLC CurrentSince Mar 13, 2019 Accepting new patients

Locations

7824 Lake Underhill Rd
Ste E
Orlando, FL 32822
Phone (407) 282-2001

10244 E Colonial Dr
Ste 110
Orlando, FL 32817
Phone (407) 202-9440

5449 S Semoran Blvd
Ste 20
Orlando, FL 32822
Phone (407) 734-1273

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851382881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 KINGWELL CIR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659092",
            "telephone_number": "787-615-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7824 LAKE UNDERHILL RD STE E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228201",
            "telephone_number": "407-282-2001",
            "fax_number": "407-286-6064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5425 S Semoran Blvd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328221748",
            "country_code": "US",
            "telephone_number": "407-734-1273",
            "fax_number": "866-738-7531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIOVANETTI",
        "first_name": "JOSE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2023-03-07",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ACN838",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN838",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12736",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12736",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL BOARD",
            "identifier": "ACN838",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROL SUBS. LIC.",
            "identifier": "DM-12593-3",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.