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FLORIDA ENT ADULT & PEDIATRIC PA
NPI 1316908353
Otolaryngology in Kissimmee, FL

Active since March 29, 2006
1162 CYPRESS GLEN CIR, KISSIMMEE, FL 34741(407) 343-9006(407) 343-0999 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Florida Ent Adult & Pediatric Pa NPPES

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

FLORIDA ENT ADULT & PEDIATRIC PA (NPI 1316908353) is a healthcare organization registered as an otolaryngology in Kissimmee, Florida and active in the NPI registry since March 2006. The organization lists Omar Fadhli, Physician Ent Specialist, as its authorized official.

NPPES Registry Identity

NPI1316908353
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameFLORIDA ENT ADULT & PEDIATRIC PA
Location Address1162 CYPRESS GLEN CIRKissimmee, FL 34741-7560
Mailing Address1162 Cypress Glen CirKissimmee, FL 34741-7560 · (407) 343-9006 · Fax (407) 343-0999
Phone(407) 343-9006
Fax(407) 343-0999
Organization SubpartNo
Authorized OfficialOmar FadhliPhysician Ent Specialist · (407) 343-9006
Enumeration DateMarch 29, 2006
Last NPPES UpdateNovember 9, 2021
NPPES CertifiedNovember 9, 2021
✔ NPI 1316908353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in FL · ME0077191
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1162 CYPRESS GLEN CIR, Kissimmee, FL 34741
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Other Identifiers 1

OtherAB304FL · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Florida Ent Adult & Pediatric Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20050811000640Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Florida Ent Adult & Pediatric PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Haley Danowski, AU.D.
Qualified Audiologist
NPI 1023849775
1162 CYPRESS GLEN CIR
Kissimmee, FL 34741
(407) 343-9006
✔ Accepts MedicareSame address
Omar Fadhli, M.D.
Otolaryngology
NPI 1922160951
1162 CYPRESS GLEN CIR
Kissimmee, FL 34741
(407) 343-9006
✔ PECOS✔ Accepts MedicareSame address
Susan Aguiar, M.D.
Otolaryngology
NPI 1336143999
1600 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 680-7000
✔ PECOS38 mi
Nube Escobar, AU.D.
Qualified Audiologist
NPI 1821233032
900 W 49TH ST STE 322
Hialeah, FL 33012
(631) 612-8437
184 mi

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

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 Florida Ent Adult & Pediatric PA's NPI number?

The NPI number for Florida Ent Adult & Pediatric PA is 1316908353. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is Florida Ent Adult & Pediatric PA located?

Florida Ent Adult & Pediatric PA is located at 1162 Cypress Glen Cir, Kissimmee, FL 34741. The listed phone number is (407) 343-9006.

What is Florida Ent Adult & Pediatric PA's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Florida Ent Adult & Pediatric PA enrolled in Medicare?

Yes. Florida Ent Adult & Pediatric PA is registered in the Medicare PECOS enrollment system.

When is Florida Ent Adult & Pediatric PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Florida Ent Adult & Pediatric PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Florida Ent Adult & Pediatric PA, in Otolaryngology and Qualified Audiologist. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Florida Ent Adult & Pediatric PA was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.