Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669446894 Individual Practitioner Male Practitioner

Dr. Nicholas D. Poulos , MD

Surgery - Pediatric Surgery • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Poulos, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Orlando, FL. Practice services are available at 6535 NEMOURS PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6535 Nemours Pkwy

Orlando, FL 328277884

Telephone 4076507000
Fax 4075675924
Associated Practice Facility / Clinic
🏢 The Nemours Foundation Facility NPI 1245520386

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Orlando, FL (94 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-16
Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License FL ME90981

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
270512500 (FL)
Medicaid State Provider ID
667777318A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Lisa Spector , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1003927112

Doctor of Medicine (M.D.)

Carlos Villarreal , PA-C

Physician Assistant

NPI 1013445931

Physician Assistant (Certified)

Meghan Burgos , APRN

Nurse Practitioner - Pediatrics

NPI 1013542059

Advanced Practice Registered Nurse

Dr. Madeleine Kraus , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1023223070

Doctor of Medicine (M.D.)

NPI 1033890058

Doctor of Philosophy (Ph.D.)

Dr. Kathleen Pope , MD

Medical Genetics - Clinical Genetics (M.D.)

NPI 1043468648

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 16, 2023

Registered at 6535 NEMOURS PKWY, ORLANDO, FL 328277884 (Tel: 4076507000)

📍
Updated Business Mailing Address September 16, 2023

Registered at 10140 CENTURION PKWY N, JACKSONVILLE, FL 322560532 (Tel: 9046974100)

NPI Profile Active October 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2011

Registered at 807 CHILDRENS WAY, JACKSONVILLE, FL 322078426 (Tel: 9043903600)

📍
Updated Business Mailing Address October 20, 2011

Registered at PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 197320191 (Tel: 3026516212)

👤
Provider Name / Credentials Updated October 20, 2011

Recorded as NICHOLAS POULOS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2011

Surgery (License #ME90981 in FL)

🟢
Initial NPI Registration & Enumeration February 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669446894
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2006
Last Update: September 16, 2023
Sole Proprietor: No

Mailing Address

10140 Centurion Pkwy N

Jacksonville, FL 322560532

Phone: 9046974100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.