Alfonso Preciado, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME164596 Issued in FL

Practice address

10000 W Colonial Dr Ste 393
Ocoee, FL 34761-3433

Phone

(321) 843-1378

Fax

(407) 296-1873

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

General Surgery

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

Merit-based Incentive Payment System (MIPS)

Final score

79.91 of 100Reported as group

Quality

61.18

Promoting interoperability

100

Improvement activities

40

Cost

71.86

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Orlando Health Medical Group Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1669429577
  Medicare reassignment Care Compare group NPD
• Orlando Health Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Winter Park, FL
  • NPI 1265019541
  NPD
• Big Bend Medical Group

  dba Family Medical Center

  • Surgery Physician
  • Big Spring, TX
  • NPI 1811973282
  NPD (past)
• Mountainstar Cardiology St Marks LLC

  dba Heart Center at St Mark's

  • Interventional Cardiology Physician
  • Salt Lake City, UT
  • NPI 1437446168
  NPD (past)
• Physician Group of Utah Inc

  • Specialist
  • South Jordan, UT
  • NPI 1477676930
  NPD (past)

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

• Orlando Health Central, Inc.

  dba Health Central

  • General Acute Care Hospital
  • Ocoee, FL
  • NPI 1033475959
  Care Compare affiliation
• Orlando Health Central, Inc.

  dba Express Care

  • Urgent Care Clinic/Center
  • Ocoee, FL
  • NPI 1780022616

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1962401315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 393",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613433",
            "telephone_number": "321-843-1378",
            "fax_number": "407-296-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 393",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613433",
            "telephone_number": "321-843-1378",
            "fax_number": "407-296-1873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E 3900 S Ste 460",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841241349",
            "country_code": "US",
            "telephone_number": "801-262-3564",
            "fax_number": "801-262-3613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRECIADO",
        "first_name": "ALFONSO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L7953",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "6656178-1205",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME164596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119599000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apreciado19407@epicmtn.hcadirect.net",
            "affiliation": "N",
            "address_1": "1250 E 3900 S Ste 460",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841241349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "providerenrollment@orlandohealth.com",
            "affiliation": "N",
            "address_1": "10000 W Colonial Dr Ste 393",
            "city": "Ocoee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347613433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Willard Houston Pitts, ARNP
• Poinciana Internal Medicine PA (Ocoee Internal Medicine)
• Valentina Amanda Portillo Prado
• Nancy Prada
• Amina Malika Pratt-Eugene
• Precision Lab Solutions
• Premier Family & Sports Medicine, LLC (PremierMED)
• Premier Pediatrics
• Ashley Price
• Primary Care Advanced PLLC

• Surgery Physician in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.

Verify at the official NPI Registry.