Orlando Portal (NPI# 1366626111, PAC ID# 4587749932) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1366626111 |
| PAC ID by PECOS | 4587749932 |
| Professional Enrollment ID | I20080310000085 |
| Full Name | Orlando Portal |
| Address |
13150 Vail Ridge Dr Riverview FL 33579-7187 |
| Gender | M |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100075 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13150 Vail Ridge Dr, Riverview, FL 33579-7187 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Street Address |
13150 VAIL RIDGE DR |
| City | RIVERVIEW |
| State | FL |
| Zip | 33579-7187 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linh T Nguyen | Internal Medicine | Tampa General Medical Group Inc | 10647 Big Bend Rd, Suite 212, Riverview, FL 33579-7176 |
| Nancy L Calderon-polanco | Nurse Practitioner | Tampa General Medical Group Inc | 10647 Big Bend Rd, Suite 212, Riverview, FL 33579-7176 |
| David J Vargas | Family Practice | Tampa General Medical Group Inc | 10647 Big Bend Rd, Suite 212, Riverview, FL 33579-7176 |
| Prema L Ramsahai | Family Practice | Tampa General Medical Group Inc | 10647 Big Bend Rd, Suite 212, Riverview, FL 33579-7176 |
| Mandy Sue Huster | Physical Therapy | Optimal Performance and Physical Therapies Riverview, LLC | 11375 Big Bend Rd, Riverview, FL 33579-7183 |
| Douglas D Buethe | Physical Therapy | Optimal Performance and Physical Therapies Riverview, LLC | 11375 Big Bend Rd, Riverview, FL 33579-7183 |
| Thomas Michael Braaten | Physical Therapy | Optimal Performance and Physical Therapies Riverview, LLC | 11375 Big Bend Rd, Riverview, FL 33579-7183 |
| Katelin A Smigielski | Physical Therapy | Optimal Performance and Physical Therapies Riverview, LLC | 11375 Big Bend Rd, Riverview, FL 33579-7183 |
| Collin Wallace | Physical Therapy | Optimal Performance and Physical Therapies Riverview, LLC | 11375 Big Bend Rd, Riverview, FL 33579-7183 |
| Stephanie M Bridwell | Physical Therapy | Optimal Performance and Physical Therapies Riverview, LLC | 11375 Big Bend Rd, Riverview, FL 33579-7183 |
| Find all physicians in zip 33579 | |||
| City | RIVERVIEW |
| Zip Code | 33579 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | RIVERVIEW + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Orlando Portal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.