Active NPI
Teresa Longo, MD
- Diagnostic Radiology Physician
- Maitland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME173706
- Practice address
- 2600 Westhall LN Ste 4
Maitland, FL 32751-7102 - Phone
- (407) 200-2355
- Fax
- (407) 200-4947
- NPI assigned
- Mar 30, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D0100533 | MD | |
| Diagnostic Radiology Physician | 2085R0202X | ME173706 | FL | Primary |
Addresses
Primary practice location
2600 Westhall LN Ste 4
Maitland, FL 32751-7102
Mailing address
2600 Westhall LN Ste 4
Maitland, FL 32751-7102
Phone (407) 200-2355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, FL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104
900 Winderley PL
Suite 1100
Maitland, FL 32751-7229
Phone (407) 200-2355
Hospital & facility affiliations
- Adventhealth Orlando
- Adventhealth Daytona Beach
- Adventhealth Waterman
- Adventhealth New Smyrna Beach
- Adventhealth Fish Memorial
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0100533 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Florida Radiology Imaging at Lake Mary LLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Radiology Imaging at Lake Mary, LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414
210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047
1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037
6420 Rockledge Dr
Bethesda, MD 20817
Phone (301) 896-6700
5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- tlongo5387985@adventhealth.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Lake Mary, FL
- NPI 1740256494
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1851414023
-
- Neurology Physician
- MC Lean, VA
- NPI 1598552226
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- New Smyrna Beach, FL
- NPI 1871977942
-
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1922569987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 WESTHALL LN STE 4",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517102",
"telephone_number": "407-200-2355",
"fax_number": "407-200-4947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 WESTHALL LN STE 4",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517102",
"telephone_number": "407-200-2355",
"fax_number": "407-200-4947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGO",
"first_name": "TERESA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-30",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D0100533",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME173706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.