NPIMap

Individual provider Active NPI

Mark A Bobek, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1962489195
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME47243 Issued in FL
Practice address
900 Springwood Dr
Orlando, FL 32839-1318
Phone
(407) 429-1065
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X ME47243 FL
Family Medicine Physician 207Q00000X ME47243 FL Primary

Addresses

Primary practice location

900 Springwood Dr
Orlando, FL 32839-1318

Mailing address

713 Cedarwood CT
Orlando, FL 32828-8144
Phone (407) 657-9368

Other practice location 1

713 Cedarwood Ct
Orlando, FL 32828-8144
Phone (407) 657-9368

Other identifiers 1

IdentifierTypeStateIssuer
055670000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090527000540 FL Practitioner - Internal Medicine 8426041138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

900 Springwood Dr
Orlando, FL 32839-1318
Phone (407) 429-1065

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Heathrow, FL, CCN 687134
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Transitional Care and in Home Primary Medicine, LLC Family Medicine CurrentSince Feb 23, 2023 Accepting new patients
Central Florida Inpatient Medicine LLC CurrentSince Apr 11, 2009 Accepting new patients
Mark a. Bobek M.D., PA Family Medicine PastSince Oct 2, 2002 Accepting new patients

Locations

917 Rinehart Rd
Ste 1051
Lake Mary, FL 32746
Phone (407) 562-9170

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1962489195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 CEDARWOOD CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288144",
            "telephone_number": "407-657-9368",
            "fax_number": "407-823-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SPRINGWOOD DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328391318",
            "telephone_number": "407-429-1065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Cedarwood Ct",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328288144",
            "country_code": "US",
            "telephone_number": "407-657-9368",
            "fax_number": "407-823-3082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBEK",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "ME47243",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME47243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055670000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.