SUPREME MEDICAL GROUP PLLC
NPI 1073970810
Internal Medicine - Infectious Disease in Orlando, FL
NPI Status: Active since January 25, 2016
Contact Information
10967 LAKE UNDER HILL RD
UNIT 137
ORLANDO, FL
ZIP 32825
Phone: (407) 930-1030
Fax: (407) 386-7277
- Organization
- Internal Medicine
- Infectious Disease
- Accepts Insurance
- CLIA Number: 10D2174600
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-04-2025
About SUPREME MEDICAL GROUP PLLC
This page provides the complete NPI Profile along with additional information for Supreme Medical Group Pllc, an internist established in Orlando, Florida operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1073970810 assigned on January 2016. The practitioner's primary taxonomy code is 207RI0200X with license number ME109765 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. Supreme Medical Group Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Sheena Mary Jose Md (Medical Director)
- NPI
- 1073970810
- Provider Name
- SUPREME MEDICAL GROUP PLLC
- Entity Type
- Organization
- Location Address
- 10967 LAKE UNDER HILL RD UNIT 137 ORLANDO, FL 32825
- Location Phone
- (407) 930-1030
- Location Fax
- (407) 386-7277
- Mailing Address
- 10967 LAKE UNDER HILL ROAD UNIT 137 ORLANDO, FL 32825
- Mailing Phone
- (407) 930-1030
- Mailing Fax
- (407) 386-7277
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-25-2016
- Last Update Date
- 12-23-2020
- Code Navigator
An internist like Supreme Medical Group Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Infectious Disease
- Taxonomy Code
- 207RI0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME109765
- License State
- FL
- Taxonomy Description
- An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Bronze Enhanced 3500 - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
- Molina Bronze Premier with $0 Medical Deductible - HMO
- Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision - HMO
- Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision - HMO
- Molina Bronze Standard - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Enhanced 895 - HMO
- Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
- Molina Gold Enhanced 895 Plus with Adult Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Access - HMO
- Molina Silver Access Plus with Adult Dental and Vision - HMO
- Molina Silver Access Plus with Adult Vision - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2174600
- Facility Type
- Physician Office
- Certificate Effective Date
- November 05, 2023
- Certificate Expiration Date
- November 04, 2025
- Laboratory Director
- SHEENA M. JOSE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Supreme Medical Group Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073970810, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
ORLANDO, FL 32825
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073970810, enumerated as an "organization" on January 25, 2016.
The provider is located at 10967 LAKE UNDER HILL RD UNIT 137 ORLANDO, FL 32825 and the phone number is (407) 930-1030.
Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
