NPIMap

Individual provider Active NPI

Andres Felipe Vallejo Agudelo, M.D.

  • Internal Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1871960997
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME165736 Issued in FL
Practice address
525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Phone
(407) 647-2346
NPI assigned
Aug 24, 2015
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME165736 FL Primary

Addresses

Primary practice location

525 Technology Park Ste 109
Lake Mary, FL 32746-7107

Mailing address

525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Phone (407) 647-2346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, FL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180718000012 MD Practitioner - Internal Medicine 2062769342 Reassigns benefits to 1 organization
I20210701003190 DC Practitioner - Internal Medicine 2062769342 Reassigns benefits to 1 organization
I20240606002804 FL Practitioner - Internal Medicine 2062769342 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Orlando Inpatient Medicine PAGroup PAC ID 0749598316, 54 clinicians
Solutions Medical Specialists LLCGroup PAC ID 7517491160, 11 clinicians
Central Florida Inpatient Medicine LLCGroup PAC ID 7911805254, 113 clinicians

Practice addresses (Care Compare)

1507 S Hiawassee Rd
Suite 206
Orlando, FL 32835-5719
Phone (407) 445-9545

525 Technology Park
Suite 109
Lake Mary, FL 32746-7107
Phone 4076472346111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.35 of 100Reported as group
Quality
53.9
Promoting interoperability
99
Improvement activities
40
Cost
71.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Medical First P.a. Internal Medicine CurrentSince Jul 9, 2018 Accepting new patients
Florida Med-Psych Consultants LLC CurrentSince Oct 1, 2024 Accepting new patients
First Docs PC Internal Medicine CurrentSince Jun 15, 2024 Accepting new patients
Central Florida Inpatient Medicine LLC Internal Medicine CurrentSince Sep 23, 2024 Accepting new patients
Inpatient Care Specialists LLC CurrentSince Jun 1, 2024 Accepting new patients
Orlando Inpatient Medicine, PA Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
7001 Charles Street Opco LLC Past Accepting new patients
1801 Wentworth Opco LLC Past Accepting new patients
Granite MD Opco Past Accepting new patients

Locations

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

1507 S Hiawassee Rd
Ste 206
Orlando, FL 32835
Phone (407) 445-9545

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

4011 Randolph Rd
Wheaton, MD 20902
Phone (301) 933-2500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Freedom Pointe Health CenterThe Villages, FL, CCN 106083 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2025
Apr 10, 2025
Lake Port Square Health CenterLeesburg, FL, CCN 105705 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2026
Mar 9, 2026

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1871960997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TECHNOLOGY PARK STE 109",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467107",
            "telephone_number": "407-647-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TECHNOLOGY PARK STE 109",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467107",
            "telephone_number": "407-647-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO AGUDELO",
        "first_name": "ANDRES",
        "middle_name": "FELIPE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME165736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.