Thomas J. Alber, M.D.
Individual provider Active NPI Pediatrics Physician · Lake Mary, FL
NPI 1902886773 · NPPES record last updated Apr 12, 2017
Key facts
- NPI
- 1902886773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME64875 (FL)
- Practice address
- 410 Waymont CT
Lake Mary, FL 32746-3485 - Phone
- (407) 323-3550
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170523002425 | FL | Practitioner - Pediatric Medicine | 6204103237 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current |
Accepting new patients | |
| Florida Hospital Medical Group Inc | Pediatrics | Current |
Accepting new patients |
| Miles M. Landis, M.D. P.a. | Past | Accepting new patients |
Locations
201 N Park Ave
Ste 106
Apopka, FL 32703
Phone (407) 889-1900
410 Waymont Ct
Lake Mary, FL 32746
Phone (407) 323-3550
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
2505 Junior St
Orange City, FL 32763
Phone (386) 774-9022
2902 N Orange Ave
Ste D
Orlando, FL 32804
Phone (407) 898-4116
716 Vassar St
Orlando, FL 32804
Phone (407) 423-8443
15502 Stoneybrook West Pkwy
Ste 114
Winter Garden, FL 34787
Phone (407) 821-3680
Interoperability endpoints
- talber73625@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 26493 | SC | |
| Pediatrics Physician | 208000000X | ME64875 | FL | Yes |
Addresses
Primary practice location
410 Waymont CT
Lake Mary, FL 32746-3485
Mailing address
410 Waymont CT
Lake Mary, FL 32746-3485
Phone (407) 323-3550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264939 | Medicaid | SC |
Other providers in Lake Mary, FL
- Rafat Ahmed
- Kelly Ann Aicher
- Kayla M Aird
- Courtney Aker
- Suleiman Al Ashi
- Whitney Albert
- Albertsons LLC
- Albertsons LLC
- Angelina Elizabeth Alcocer
- Aida Alequin Rosich
All providers in Lake Mary, FL · Pediatrics Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.