Individual provider Active NPI

Manuel Correa Fortes, M.D.

  • Vascular & Interventional Radiology Physician
  • Orlando, FL
National Provider Identifier
1962639757
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME142665 Issued in FL
Practice address
265 E Rollins St Ste 12000
Orlando, FL 32804-5571
Phone
(407) 975-0200
NPI assigned
Jun 18, 2009
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X ME142665 FL
Vascular & Interventional Radiology Physician 2085R0204X DR.0067125 CO
Vascular & Interventional Radiology Physician 2085R0204X D0074808 MD
Vascular & Interventional Radiology Physician 2085R0204X 0101265756 VA
Vascular & Interventional Radiology Physician 2085R0204X ME142665 FL Primary

Addresses

Primary practice location

265 E Rollins St Ste 12000
Orlando, FL 32804-5571

Mailing address

265 E Rollins St Ste 12000
Orlando, FL 32804-5571
Phone (407) 975-0200

Other practice location 1

400 Celebration Pl Ste A-360
Kissimmee, FL 34747-4970
Phone (407) 975-0200

Other identifiers 1

IdentifierTypeStateIssuer
1962639757MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, FL, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20191209000125 DC Practitioner - Interventional Radiology 8123269487 Reassigns benefits to 3 organizations
I20191216001785 VA Practitioner - Interventional Radiology 8123269487 Reassigns benefits to 2 organizations
I20200217004720 FL Practitioner - Diagnostic Radiology 8123269487 Reassigns benefits to 6 organizations
I20250311000415 GA Practitioner - Diagnostic Radiology 8123269487 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairbanks Partners LLCGroup PAC ID 8820303621, 37 clinicians

Practice addresses (Care Compare)

720 W Oak St
Suite 111
Kissimmee, FL 34741-4990
Phone (470) 975-0200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME142665FLMDNeuroradiology Physician
D0074808MDMDVascular & Interventional Radiology Physician
0101265756VAMDVascular & Interventional Radiology Physician

Practice roles (60 of 97)

OrganizationSpecialtyStatusNew patients
Clermont Radiology LLC CurrentSince Jan 1, 2026 Accepting new patients
Fairbanks Partners LLC CurrentSince Feb 12, 2024 Accepting new patients
LCM Imaging Inc Diagnostic Radiology CurrentSince Jul 16, 2025 Accepting new patients
Clermont Radiology LLC CurrentSince Jan 1, 2026 Accepting new patients
Gateway Diagnostic Imaging LLC CurrentSince Feb 6, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 12, 2025 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Apr 29, 2025 Accepting new patients
Round Rock Imaging LLC CurrentSince Feb 3, 2026 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Jan 30, 2020 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince May 15, 2025 Accepting new patients
Fairfax Radiological Consultants Diagnostic Radiology CurrentSince Jan 2, 2020 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Apr 29, 2025 Accepting new patients
Btdi JV LLP CurrentSince Apr 10, 2024 Accepting new patients
Pro Radiology, LLC CurrentSince Jan 15, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Apr 10, 2024 Accepting new patients
Scltdi JV, LLC CurrentSince Nov 1, 2023 Accepting new patients
Preferred Imaging of Mesquite LLC Diagnostic Radiology CurrentSince Feb 3, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Jan 1, 2025 Accepting new patients
West Hernando Diagnostic & Mr Center Diagnostic Radiology CurrentSince Dec 20, 2023 Accepting new patients
Preferred Imaging of McKinney, LLC Diagnostic Radiology CurrentSince Feb 3, 2026 Accepting new patients
Preferred Open MRI, LLC Diagnostic Radiology CurrentSince Feb 3, 2026 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Mar 15, 2024 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jul 18, 2025 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Mar 15, 2024 Accepting new patients
Preferred Imaging of Garland, LLC Diagnostic Radiology CurrentSince Feb 3, 2026 Accepting new patients
Preferred Imaging of Amarillo, LLC CurrentSince Jan 1, 2026 Accepting new patients
Clermont Radiology LLC CurrentSince Jan 1, 2026 Accepting new patients
Akumin Imaging Texas LLC CurrentSince Jan 1, 2026 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Nov 18, 2025 Accepting new patients
Beaumont MRI Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Apr 10, 2024 Accepting new patients
Blue Stone JV LLP CurrentSince Apr 10, 2024 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Nov 6, 2024 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Nov 19, 2025 Accepting new patients
American Health Imaging of Dallas, LLC CurrentSince Nov 1, 2023 Accepting new patients
Elite Imaging LLC Diagnostic Radiology Current Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2023 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jul 18, 2025 Accepting new patients
Scltdi JV, LLC CurrentSince Nov 1, 2023 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Jan 30, 2020 Accepting new patients
Preferred Imaging of Austin LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Dec 6, 2024 Accepting new patients
Fairbanks Partners LLC CurrentSince Feb 12, 2024 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Nov 1, 2023 Accepting new patients
Scltdi JV, LLC CurrentSince Nov 1, 2023 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Apr 28, 2025 Accepting new patients
Scltdi JV, LLC CurrentSince Nov 1, 2023 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jul 22, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince May 1, 2025 Accepting new patients
Preferred Imaging of Grapevine/Colleyville, LLC CurrentSince Feb 3, 2026 Accepting new patients
Btdi JV LLP CurrentSince Apr 10, 2024 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jul 18, 2025 Accepting new patients
Texas Imaging Partners, LLC CurrentSince Jan 1, 2026 Accepting new patients
Btdi JV LLP CurrentSince Apr 10, 2024 Accepting new patients
Titan MRI LLC CurrentSince Jun 1, 2026 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Oct 30, 2025 Accepting new patients
Preferred Imaging of Irving LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Jan 2, 2025 Accepting new patients
Btdi JV LLP CurrentSince Apr 10, 2024 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

2925 Aventura Blvd
Ste 100101
Aventura, FL 33180
Phone (305) 692-2222

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

1203 SE 8th Ave
Cape Coral, FL 33990
Phone (239) 214-9003

922 N Citrus Ave
Crystal River, FL 34428
Phone (352) 795-9200

7615 Jacque Rd
Hudson, FL 34667
Phone (727) 697-0100

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000

400 Celebration Pl
Ste A360
Kissimmee, FL 34747
Phone (407) 303-4829

720 W Oak St
Ste 111
Kissimmee, FL 34741
Phone (407) 288-8638

1714 SW 17th St
Ste 300
Ocala, FL 34471
Phone (352) 274-9565

265 E Rollins St
Ste 12000
Orlando, FL 32804

2100 Creighton Rd
Pensacola, FL 32504
Phone (850) 332-4414

3315 Commercial Way
Spring Hill, FL 34606
Phone (325) 688-5860

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

1605 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 845-8356

60 Peachtree Park Dr NE
#100
Atlanta, GA 30309
Phone (678) 278-8800

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBACD

Organizations & group practices 98

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.

View all 98

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1962639757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E ROLLINS ST STE 12000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045571",
            "telephone_number": "407-975-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E ROLLINS ST STE 12000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045571",
            "telephone_number": "407-975-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Celebration Pl Ste A-360",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347474970",
            "country_code": "US",
            "telephone_number": "407-975-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTES",
        "first_name": "MANUEL",
        "middle_name": "CORREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME142665",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "DR.0067125",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D0074808",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101265756",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME142665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962639757",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.