Active NPI
Alexis Marie Avellino, MD
- Sports Medicine (Emergency Medicine) Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- ME158296
- Practice address
- 1285 Orange Ave
Winter Park, FL 32789-4984 - Phone
- (407) 647-2287
- Fax
- (407) 643-2801
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | ME158296 | FL | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | ME158296 | FL |
Addresses
Primary practice location
1285 Orange Ave
Winter Park, FL 32789-4984
Mailing address
1285 Orange Ave
Winter Park, FL 32789-4984
Phone (407) 647-2287
Other practice location 1
11750 Bird Rd
Miami, FL 33175-3530
Phone (305) 213-9526
Other practice location 2
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone (386) 254-4000
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
- Sports Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1285 Orange Ave
Winter Park, FL 32789-4984
Phone (407) 647-2287
303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 254-4000
Hospital & facility affiliations
- Halifax Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700
1285 Orange Ave
Winter Park, FL 32789
Phone (407) 647-2287
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1811991227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1851920888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1285 ORANGE AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894984",
"telephone_number": "407-647-2287",
"fax_number": "407-643-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 ORANGE AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894984",
"telephone_number": "407-647-2287",
"fax_number": "407-643-2801"
}
],
"practiceLocations": [
{
"address_1": "11750 Bird Rd",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331753530",
"country_code": "US",
"telephone_number": "305-213-9526",
"fax_number": "305-485-2962",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 N Clyde Morris Blvd",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321142709",
"country_code": "US",
"telephone_number": "386-254-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVELLINO",
"first_name": "ALEXIS",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-02",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "FL",
"license": "ME158296",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "FL",
"license": "ME158296",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.