Individual provider Active NPI

Matthew D Imfeld, MD

  • Physical Medicine & Rehabilitation Physician
  • Orlando, FL
National Provider Identifier
1861572554
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME59982 Issued in FL
Practice address
10345 Orangewood Blvd
Orlando, FL 32821-8239
Phone
(407) 352-6900
Fax
(407) 352-6163
NPI assigned
Oct 17, 2006
Last updated
Jan 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME59982 FL Primary
Physical Medicine & Rehabilitation Physician 208100000X 565856 OH

Addresses

Primary practice location

10345 Orangewood Blvd
Orlando, FL 32821-8239

Mailing address

10345 Orangewood Blvd
Orlando, FL 32821-8239
Phone (407) 352-6900

Other identifiers 8

IdentifierTypeStateIssuer
056017100MedicaidFL
0961384OtherAETNA HMO
4227385OtherAETNA POS
4227385OtherAETNA PPO
12657OtherBLUE CROSS BLUE SHIELD
0961384OtherAETNA QPOS
4310614008OtherCIGNA
593224058002OtherPRUCARE

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
I20100419000249 FL Practitioner - Physical Medicine and Rehabilitation 5698802981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

214 E Lucerne Cir
Orlando, FL 32801-3707
Phone (407) 352-6121

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
565856OHMDMagnetic Resonance Imaging (MRI) Internal Medicine Physician
ME59982FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Pysiatrists PA Physical Medicine & Rehabilitation CurrentSince Jun 3, 1991 Accepting new patients

Locations

2020 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 242-0404

2020 Oakley Seaver Dr
Ste B
Clermont, FL 34711

10345 Orangewood Blvd
Orlando, FL 32821
Phone (407) 352-6900

214 E Lucerne Cir
Orlando, FL 32801
Phone (407) 352-6121

214 E Lucerne Cir
Ste B
Orlando, FL 32801
Phone (407) 352-6121

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1861572554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10345 ORANGEWOOD BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328218239",
            "telephone_number": "407-352-6900",
            "fax_number": "407-352-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 ORANGEWOOD BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328218239",
            "telephone_number": "407-352-6900",
            "fax_number": "407-352-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMFELD",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME59982",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "565856",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056017100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0961384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA POS",
            "identifier": "4227385",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4227385",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "12657",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA QPOS",
            "identifier": "0961384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4310614008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRUCARE",
            "identifier": "593224058002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.