Individual provider Active NPI

Kevin J Slagoski, PA-C

  • Medical Physician Assistant
  • Orlando, FL
National Provider Identifier
1851949432
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9112542 Issued in FL
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

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
104967100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191223000040 FL Practitioner - Physician Assistant 0143654368 Reassigns benefits to 2 organizations

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
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

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

LicenseStateTypeSpecialty
PA9112542FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince May 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Jan 6, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 6, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.