Active NPI
Kevin J Slagoski, PA-C
- Medical Physician Assistant
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9112542
- Practice address
- 2501 N Orange Ave Ste 540
Orlando, FL 32804-4674 - Phone
- (407) 303-3692
- Fax
- (407) 303-3634
- NPI assigned
- Aug 28, 2019
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9112542 | FL | |
| Medical Physician Assistant | 363AM0700X | PA9112542 | FL | Primary |
Addresses
Primary practice location
2501 N Orange Ave Ste 540
Orlando, FL 32804-4674
Mailing address
2501 N Orange Ave Ste 540
Orlando, FL 32804-4674
Phone (407) 303-3692
Other practice location 1
10000 W Colonial Dr Ste 285
Ocoee, FL 34761-3432
Phone (407) 298-6950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104967100 | 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10000 W Colonial Dr
Ocoee, FL 34761-3400
Phone (407) 578-0033
17000 Porter Rd
Winter Garden, FL 34787-8915
32 W Gore St
Orlando, FL 32806-1134
9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (407) 354-1202
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9112542 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Physician Assistant | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
10000 W Colonial Dr
Ste 285
Ocoee, FL 34761
Phone (321) 841-2020
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
2501 N Orange Ave
Ste 540
Orlando, FL 32804
Phone (407) 303-3692
3745 11th Cir
Ste 105
Vero Beach, FL 32960
Phone (772) 564-2485
Networks
- Freedom Health HMO Network
Interoperability endpoints
- kslagoski74042@adventhealth.direct-ci.com
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Physician Assistant
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1851949432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE STE 540",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044674",
"telephone_number": "407-303-3692",
"fax_number": "407-303-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE STE 540",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044674",
"telephone_number": "407-303-3692",
"fax_number": "407-303-3634"
}
],
"practiceLocations": [
{
"address_1": "10000 W Colonial Dr Ste 285",
"address_purpose": "LOCATION",
"city": "Ocoee",
"state": "FL",
"postal_code": "347613432",
"country_code": "US",
"telephone_number": "407-298-6950",
"fax_number": "321-843-6316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLAGOSKI",
"first_name": "KEVIN",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-28",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9112542",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9112542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104967100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.