TEODORO MEDINA (M.D.) – General Practice Physician, NPI 1093852113

TEODORO MEDINA (M.D.) is a healthcare provider. based in Orlando, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 14489 (PR). The NPI Number for TEODORO MEDINA (M.D.) is 1093852113

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
TEODORO MEDINA (M.D.)
NPI
1093852113
Phone
(407) 845-0330
Address
6675 WESTWOOD BLVD
Enumeration Date
30 January 2007
Last Update Date
8 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3528154272
Graduation Year
2000 (26 years ago)
PAC ID
5890785463
Group Practice PAC ID
5395161186
Professional Enrollment ID
I20160720002795
Address ID
FL347857487WI4110X44XX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

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Provider Addresses for TEODORO MEDINA (M.D.)

  • 6675, Westwood Boulevard, Orlando, Orange County, Florida, 32819-9363, United States

    STE 475

    ORLANDO, FL 32821

    Phone: (407) 845-0330

    Fax: (888) 972-1752

    Type: Mailing

  • Webb Hill Road, Town of Davenport, Delaware County, New York, 13751, United States

    DAVENPORT, FL 338373962

    Phone: (863) 421-9447

    Fax: (863) 421-1806

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-07-20

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
I20160720002795IGeneral 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3523$0
99213Established patient office or other outpatient visit, 20-29 minutes2116$0
View full utilization report →

Insurance plans in this area (ZIP 32821)

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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: 5395161186View full group profile
NameSpecialtyState
General PracticeFL
Physician AssistantFL
General PracticeFL
Nurse PractitionerFL
Internal MedicineFL
Family PracticeFL
Physician AssistantFL
Internal Medicine, Cardiovascular Disease (Cardiology)FL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
Preventive Medicine, General PracticeFL

Reviews

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Frequently asked questions

Can I cross-check TEODORO MEDINA (M.D.) using NPI 1093852113?
NPI 1093852113 belongs to TEODORO MEDINA (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to TEODORO MEDINA (M.D.)?
You should see TEODORO MEDINA (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with TEODORO MEDINA (M.D.)?
TEODORO MEDINA (M.D.)'s record emphasizes General Practice Physician. Clinical services aligned with this taxonomy classification.
Is TEODORO MEDINA (M.D.) located near Orlando?
TEODORO MEDINA (M.D.) currently maps to Orlando, Florida in this extract.
When was this NPI issued?
Enumeration for TEODORO MEDINA (M.D.) is noted as January 30, 2007 where the registry provides it.

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