Individual provider Active NPI

Adelimelid C Santos Acevedo, MD

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1952521221
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14065 Issued in PR
Practice address
600 N Hart Blvd
Orlando, FL 32818-6834
Phone
(407) 297-0087
Fax
(407) 290-1753
NPI assigned
Apr 27, 2007
Last updated
Apr 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14065 PR Primary

Addresses

Primary practice location

600 N Hart Blvd
Orlando, FL 32818-6834

Mailing address

7800 W Oakland Park Blvd
Suite E-214
Sunrise, FL 33351-6741
Phone (954) 318-6590

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140123001221 FL Practitioner - General Practice 6901034800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Sports and Family Health Center PAGroup PAC ID 0840236907, 8 clinicians

Practice addresses (Care Compare)

309 W Bass St
Kissimmee, FL 34741-5011
Phone (407) 935-1192

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14065PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Sports and Family Health Center PA CurrentSince Oct 3, 2016 Accepting new patients

Locations

309 W Bass St
Kissimmee, FL 34741
Phone (407) 935-1192

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1952521221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 W OAKLAND PARK BLVD",
            "address_2": "SUITE E-214",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516741",
            "telephone_number": "954-318-6590",
            "fax_number": "954-318-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HART BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186834",
            "telephone_number": "407-297-0087",
            "fax_number": "407-290-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS ACEVEDO",
        "first_name": "ADELIMELID",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.