Organization Active NPI

Psynergy Health Med PLLC

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1891513420
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PSYNERGY HEALTH MED PLLC
Practice address
4901 Vineland Rd Ste 350
Orlando, FL 32811-7192
Phone
(407) 469-5088
NPI assigned
Oct 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Dr. Pradeep Vangala, MDNPI 1306889050
Title
Owner / Ao
Phone
(407) 469-5088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4901 Vineland Rd Ste 350
Orlando, FL 32811-7192

Mailing address

4901 Vineland Rd Ste 350
350
Orlando, FL 32811-7192
Phone (407) 802-1060

Other names 1

  • Psynergy Health Med PLLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, GA, KY, NC, VA, IN, TN, OH, PA, NY, AL, DC13 enrollments

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
O20241113001786 FL Part B Supplier - Clinic/Group Practice 0749714707 Receives reassigned benefits from 39 practitioners
Practice locations: Rockledge, FL; Windermere, FL; Sunrise, FL; Sharpes, FL; Saint Cloud, FL; Port St Lucie, FL; Pensacola, FL; Parkland, FL…
O20250430002718 SC Part B Supplier - Clinic/Group Practice 0749714707 Receives reassigned benefits from 17 practitioners
Practice locations: Beaufort, SC; Blythewood, SC; Charleston, SC; Mount Pleasant, SC; Myrtle Beach, SC; North Charleston, SC
O20250530000772 GA Part B Supplier - Clinic/Group Practice 0749714707 Receives reassigned benefits from 3 practitioners
Practice locations: Atlanta, GA
O20250609000586 KY Part B Supplier - Clinic/Group Practice 0749714707 Receives reassigned benefits from 5 practitioners
Practice locations: Versailles, KY; Richmond, KY
O20250709002338 NC Part B Supplier - Clinic/Group Practice 0749714707 Receives reassigned benefits from 3 practitioners
Practice locations: Charlotte, NC; Raleigh, NC; Waxhaw, NC; Wilmington, NC
O20250806002874 VA Part B Supplier - Clinic/Group Practice 0749714707 Receives reassigned benefits from 9 practitioners
Practice locations: Purcellville, VA; Richmond, VA; Suffolk, VA
O20250813004190 IN Part B Supplier - Clinic/Group Practice 0749714707 Receives reassigned benefits from 4 practitioners
Practice locations: Indianapolis, IN
O20250826000859 TN Part B Supplier - Clinic/Group Practice 0749714707 Receives reassigned benefits from 13 practitioners
Practice locations: Sparta, TN; Helenwood, TN; Newport, TN; Nashville, TN; Knoxville, TN; Brentwood, TN
O20250903001135 OH Part B Supplier - Clinic/Group Practice 0749714707 Receives reassigned benefits from 4 practitioners
Practice locations: Columbus, OH; Dublin, OH
O20250918003915 PA Part B Supplier - Clinic/Group Practice 0749714707 Receives reassigned benefits from 8 practitioners
Practice locations: Lancaster, PA
O20260106002653 NY Part B Supplier - Clinic/Group Practice 0749714707 Receives reassigned benefits from 2 practitioners
Practice locations: Glenville, NY; Rochester, NY
O20260202000570 AL Part B Supplier - Clinic/Group Practice 0749714707 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsboro, AL
O20260210004143 DC Part B Supplier - Clinic/Group Practice 0749714707 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC; Clifton, VA

National Provider Directory

National Provider Directory

Locations

700 Pennsylvania Ave SE
Ste 2087
Washington, DC 20003
Phone (202) 408-7609

4901 Vineland Rd
Ste 350
Orlando, FL 32811
Phone (407) 469-5088

8735 Dunwoody Pl
#R
Sandy Springs, GA 30350
Phone (407) 469-5088

33 W State St
Ste 5
Trenton, NJ 08608
Phone (800) 563-8156

Practitioners & affiliated clinicians

Practitioners 69

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1891513420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 VINELAND RD STE 350",
            "address_2": "350",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117192",
            "telephone_number": "407-802-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 VINELAND RD STE 350",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117192",
            "telephone_number": "407-469-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYNERGY HEALTH MED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "VANGALA",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_title_or_position": "OWNER / AO",
        "authorized_official_telephone_number": "407-469-5088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psynergy Health Med PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.