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HOME PHYSICIANS GROUP LLC
NPI 1063224756
Family Medicine in Orlando, FL

Active since January 21, 2025CLIA 10D2328856 · Waiver
12301 LAKE UNDERHILL RD STE 215, ORLANDO, FL 32828(321) 235-0692(321) 235-0694 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2025, Feb 21, 2025 (2 updates tracked since 2025).

About Home Physicians Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOME PHYSICIANS GROUP LLC (NPI 1063224756) is a healthcare organization registered as a family medicine in Orlando, Florida and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through August 18, 2027, maintains 2 additional practice locations, and lists Gabriel Nuriel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063224756
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOME PHYSICIANS GROUP LLC
Location Address12301 LAKE UNDERHILL RD STE 215Orlando, FL 32828-4511
Mailing Address12301 Lake Underhill Rd Ste 215Orlando, FL 32828-4511 · (321) 235-0692 · Fax (321) 235-0694
Phone(321) 235-0692
Fax(321) 235-0694
Organization SubpartNo
Authorized OfficialGabriel NurielCeo · (321) 235-0692
Enumeration DateJanuary 21, 2025
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1063224756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X
12301 LAKE UNDERHILL RD STE 215, Orlando, FL 32828
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Secondary Practice Locations 2

Location 1450 N McDonald AveDeland, FL 32724-3634 · Phone (321) 235-0692 · Fax (321) 235-0694
Location 212301 Lake Underhill Rd Ste 215Orlando, FL 32828-4511 · Phone (321) 235-0692 · Fax (321) 235-0694

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Home Physicians Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Home Physicians Group LLC, which bills Medicare for the services they deliver. Of these, 12 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner6
General Practice4
Family Practice2

Clinicians, nearest first (12)

Melissa Kirby, M.D.
General Practice
NPI 1184627374
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Derek Skop, DO
General Practice
NPI 1932848975
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Gardy Valentin, M.D.
Family Practice
NPI 1740598457
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Andrea Barrett, APRN
Nurse Practitioner
NPI 1316699580
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Virginia Brathwaite, APRN, FNP-C
Nurse Practitioner
NPI 1245811934
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(213) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Jaime Machado Perez, ARNP
Nurse Practitioner
NPI 1043892755
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Sarah Matthews, ARNP
Nurse Practitioner
NPI 1801337738
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Gabriel Nuriel, D.O.
Family Practice
NPI 1821168972
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Amanda Ramos Padilla, MSN APRN AGACNP - BC
Nurse Practitioner
NPI 1699598664
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Edgar Torres, M.D.
General Practice
NPI 1780823252
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Stephanie Torres Boschetti, MD
General Practice
NPI 1992457600
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address
Alex Vera Moran, APRN
Nurse Practitioner
NPI 1780269753
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2328856

Home Physicians Group · Deland, FL
Active · expires Aug 18, 2027
CLIA Number10D2328856
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorGabriel Nuriel
Laboratory Phone(321) 235-0692
Laboratory LocationHome Physicians Group450 N Mcdonald Ave, Deland, FL 32724
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Home Physicians Group LLC's NPI number?

The NPI number for Home Physicians Group LLC is 1063224756. It was assigned to this organization in the NPPES registry on January 21, 2025.

Where is Home Physicians Group LLC located?

Home Physicians Group LLC is located at 12301 Lake Underhill Rd Ste 215, Orlando, FL 32828. The listed phone number is (321) 235-0692.

What is Home Physicians Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Home Physicians Group LLC enrolled in Medicare?

Yes. Home Physicians Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Home Physicians Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Home Physicians Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), General Practice (4) and Family Practice (2). Of these, 12 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Home Physicians Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2328856) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Home Physicians Group LLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.