PHILIPPE DIDIER ANDRE (PA-C) – Physician Assistant, NPI 1184066433

PHILIPPE DIDIER ANDRE (PA-C) is a healthcare provider. based in Orlando, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9107293 (FL). The NPI Number for PHILIPPE DIDIER ANDRE (PA-C) is 1184066433

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
PHILIPPE DIDIER ANDRE (PA-C)
NPI
1184066433
Phone
(079) 310-4444
Address
6210 W COLONIAL DR STE 100
Enumeration Date
26 July 2013
Last Update Date
17 November 2021

Doctor Profile

Medical School Name
MIAMI MEDICAL COLLEGE
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
3678702040
Group Practice PAC ID
2567372899
Professional Enrollment ID
I20220517002848
Address ID
NY136071391AL4XXXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for PHILIPPE DIDIER ANDRE (PA-C)

  • 6210 W COLONIAL DR STE 100

    ORLANDO, FL 328087504

    Phone: (079) 310-4444

    Fax: (407) 978-6639

    Type: Location

  • 931 W OAK ST STE 103

    KISSIMMEE, FL 347414973

    Phone: (407) 931-0444

    Fax: (407) 962-4446

    Type: Mailing

  • 426 CALEF HWY

    BARRINGTON, NH 038257235

    Phone: (603) 664-9003

    Fax: (603) 664-0133

    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: 2022-05-17

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
I20220517002848IPhysician AssistantMETBD

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 32808)

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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: 2567372899View full group profile
NameSpecialtyState
Orthopedic SurgeryWI
-NY
-NY
General Surgery, Thoracic SurgeryNY
Nurse PractitionerTX
Physician AssistantNY
-NY
Clinical Social WorkerNY
A N E S T H E S I O L O G YIN
Physician AssistantNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for PHILIPPE DIDIER ANDRE (PA-C)?
PHILIPPE DIDIER ANDRE (PA-C) — NPI 1184066433 — is the standard way to identify this listing.
Is PHILIPPE DIDIER ANDRE (PA-C) listed as active for patients and plans?
The listing shows PHILIPPE DIDIER ANDRE (PA-C) as active in the NPI system.
What is PHILIPPE DIDIER ANDRE (PA-C)'s primary classification?
Physician Assistant is the headline specialty for PHILIPPE DIDIER ANDRE (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect PHILIPPE DIDIER ANDRE (PA-C) on a map?
Expect Orlando, Florida as a primary anchor for PHILIPPE DIDIER ANDRE (PA-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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