JAVIER URDANETA (MD) – Family Medicine Physician, NPI 1063499119

JAVIER URDANETA (MD) is a healthcare provider. based in Orlando, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME68802 (FL). The NPI Number for JAVIER URDANETA (MD) is 1063499119

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
JAVIER URDANETA (MD)
NPI
1063499119
Phone
(407) 985-5677
Address
5626 CURRY FORD RD
Enumeration Date
29 December 2005
Last Update Date
10 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078781734
Graduation Year
1986 (40 years ago)
PAC ID
1658343603
Group Practice PAC ID
0648271155
Professional Enrollment ID
I20040810000787
Address ID
FL327711647SA1442XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for JAVIER URDANETA (MD)

  • Curry Ford Road, Orlando, Orange County, Florida, 32807, United States

    ORLANDO, FL 328221424

    Phone: (407) 985-5677

    Fax: (844) 388-6186

    Type: Mailing

  • 5414 DEEP LAKE RD STE 1104

    OVIEDO, FL 327655243

    Phone: (407) 986-9850

    Fax: (844) 388-6186

    Type: Location

  • 601 S HARBOUR ISLAND BLVD STE 200

    TAMPA, FL 336025925

    Phone: (727) 322-3439

    Fax: (800) 928-7449

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $240.

Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.

Last reported payment date: 2024-01-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($133).

Total Amount

$240

General + Research + Ownership

Payments

8

Total payment records

General Amount

$240

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040810000787IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32822)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648271155View full group profile
NameSpecialtyState
Physician AssistantFL
Nurse PractitionerFL
General PracticeFL
General PracticeFL
Physician AssistantFL
General PracticeFL
General Practice, Family PracticeFL
Family PracticeFL
-FL
Internal Medicine, Infectious DiseaseFL

Reviews

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Frequently asked questions

What number should I use to identify JAVIER URDANETA (MD) for billing?
Administrative and clinical systems typically use NPI 1063499119 for JAVIER URDANETA (MD).
Is JAVIER URDANETA (MD) currently accepting referrals based on NPI status?
Registry metadata lists JAVIER URDANETA (MD) as active.
What type of care does JAVIER URDANETA (MD) provide?
JAVIER URDANETA (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JAVIER URDANETA (MD) tied to Orlando, Florida?
If you are local to Orlando, Florida, JAVIER URDANETA (MD) may be relevant to your search.
Why is information missing for JAVIER URDANETA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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