Individual provider Active NPI

Angela M Fals, MD

  • Pediatric Obesity Medicine Physician
  • Winter Park, FL
National Provider Identifier
1982691754
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Obesity Medicine PhysicianTaxonomy code 2080B0002X
License
ME81834 Issued in FL
Practice address
1801 Lee Rd Ste 307
Winter Park, FL 32789-2101
Phone
(407) 303-9200
Fax
(407) 303-9201
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME81834 FL
Pediatric Obesity Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080B0002X ME81834 FL Primary

Addresses

Primary practice location

1801 Lee Rd Ste 307
Winter Park, FL 32789-2101

Mailing address

1801 Lee Rd Ste 307
Winter Park, FL 32789-2101
Phone (407) 303-9200

Other identifiers 1

IdentifierTypeStateIssuer
261753600MedicaidFL

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
I20100614000141 FL Practitioner - Pediatric Medicine 9931239233 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81834FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince May 3, 2010 Accepting new patients
Florida Hospital Medical Group Inc Single Specialty CurrentSince May 3, 2010 Accepting new patients
Inphynet Contracting Services LLC Single Specialty Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

615 E Princeton St
Ste 104
Orlando, FL 32803
Phone (407) 303-1575

1801 Lee Rd
Ste 307
Winter Park, FL 32789
Phone (407) 303-9200

Interoperability endpoints

  • Direct secure messaging: afals73572@adventhealth.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1982691754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LEE RD STE 307",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892101",
            "telephone_number": "407-303-9200",
            "fax_number": "407-303-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 LEE RD STE 307",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892101",
            "telephone_number": "407-303-9200",
            "fax_number": "407-303-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALS",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME81834",
            "primary": false
        },
        {
            "code": "2080B0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Obesity Medicine",
            "state": "FL",
            "license": "ME81834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261753600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.