DR. JOSE ENRIQUE SR. MOLINA (P.A.) – Physician Assistant, NPI 1407074099

DR. JOSE ENRIQUE SR. MOLINA (P.A.) is a healthcare provider. based in Orlando, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA9100698 (FL). The NPI Number for DR. JOSE ENRIQUE SR. MOLINA (P.A.) is 1407074099

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSE ENRIQUE SR. MOLINA (P.A.)
NPI
1407074099
Phone
(321) 235-6230
Address
5580 E Grant St
Enumeration Date
22 April 2007
Last Update Date
3 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4076245896
Graduation Year
1987 (39 years ago)
PAC ID
1254471584
Group Practice PAC ID
0648271155
Professional Enrollment ID
I20091217000652
Address ID
FL347696021SA3100XSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for DR. JOSE ENRIQUE SR. MOLINA (P.A.)

  • 5580 E Grant St

    Orlando, FL 328221666

    Phone: (321) 235-6230

    Fax: (321) 235-6246

    Type: Location

  • 10175 ARMANDO CIR

    ORLANDO, FL 328257725

    Phone: (954) 937-2416

    Type: Mailing

  • 5580 E GRANT ST

    ORLANDO, FL 328221666

    Phone: (321) 235-6230

    Fax: (321) 235-6246

    Type: Location

  • 601 S HARBOUR ISLAND BLVD STE 200

    TAMPA, FL 336025925

    Phone: (727) 322-3439

    Type: Mailing

  • 3100 17TH ST STE B

    SAINT CLOUD, FL 347696021

    Phone: (407) 908-7310

    Fax: (844) 388-6186

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2023-09-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($31).

Total Amount

$55

General + Research + Ownership

Payments

3

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-23

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: 2009-12-17

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
I20091217000652IPhysician AssistantFLTBD

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
Family PracticeFL
Nurse PractitionerFL
General PracticeFL
General PracticeFL
Physician AssistantFL
General PracticeFL
General Practice, Family PracticeFL
Family PracticeFL
-FL

Reviews

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Frequently asked questions

Can I cross-check DR. JOSE ENRIQUE SR. MOLINA (P.A.) using NPI 1407074099?
NPI 1407074099 belongs to DR. JOSE ENRIQUE SR. MOLINA (P.A.); compare other details if you need extra assurance.
Is DR. JOSE ENRIQUE SR. MOLINA (P.A.) shown as active in public data?
Registry records indicate DR. JOSE ENRIQUE SR. MOLINA (P.A.) maintains an active NPI.
What area of care is associated with DR. JOSE ENRIQUE SR. MOLINA (P.A.)?
DR. JOSE ENRIQUE SR. MOLINA (P.A.)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. JOSE ENRIQUE SR. MOLINA (P.A.) registered?
Use Orlando, Florida as the headline location for DR. JOSE ENRIQUE SR. MOLINA (P.A.) here.
When was this NPI issued?
Enumeration for DR. JOSE ENRIQUE SR. MOLINA (P.A.) is noted as April 22, 2007 where the registry provides it.

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