Active NPI
Matthew D Imfeld, MD
- Physical Medicine & Rehabilitation Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME59982
- 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, 2010
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056017100 | Medicaid | FL | |
| 0961384 | Other | AETNA HMO | |
| 4227385 | Other | AETNA POS | |
| 4227385 | Other | AETNA PPO | |
| 12657 | Other | BLUE CROSS BLUE SHIELD | |
| 0961384 | Other | AETNA QPOS | |
| 4310614008 | Other | CIGNA | |
| 593224058002 | Other | PRUCARE |
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
- 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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 565856 | OH | MD | Magnetic Resonance Imaging (MRI) Internal Medicine Physician |
| ME59982 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Pysiatrists PA | Physical Medicine & Rehabilitation | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Orlando, FL
- NPI 1457421570
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.