MR. DAVID ESTALILLA PA-C
NPI 1376193458
Physician Assistant - Medical in Orlando, FL

Q: What is David Estalilla's NPI number?

The NPI number for David Estalilla is 1376193458. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Q: What is David Estalilla's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for David Estalilla was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 19, 2019PECOS Enrolled

1222 S ORANGE AVE, ORLANDO, FL 32806(321) 841-6444(407) 650-1307 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 22, 2020, Dec 23, 2019, Sep 19, 2019 (3 updates tracked since 2019).

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About Mr. David Estalilla Pa-c NPPES

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

MR. DAVID ESTALILLA PA-C (NPI 1376193458) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9112510) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Deland.

NPPES Registry Identity

NPI1376193458

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. DAVID ESTALILLACredential: PA-C

Location Address1222 S ORANGE AVEOrlando, FL 32806-1215

Mailing Address1222 S Orange AveOrlando, FL 32806-1215 · (321) 841-6444 · Fax (407) 650-1307

Phone(321) 841-6444

Fax(407) 650-1307

Sole ProprietorNo

Enumeration DateSeptember 19, 2019

Last NPPES UpdateApril 22, 20203 updates tracked since enumeration

NPPES CertifiedApril 22, 2020

✔ NPI 1376193458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9112510

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9112510 (FL)

1222 S ORANGE AVE, Orlando, FL 32806

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Secondary Practice Location 1

Location 1603 Shady Point WayDeland, FL 32724-8048 · Phone (386) 837-0308

Other Identifiers 1

Medicaid104353800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Estalilla Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYAN DAVID BROWN MD

Orthopaedic Surgery (Hand Surgery)

1222 S ORANGE AVE, 5TH FLOOR
ORLANDO, FL 32806

Orange County (321) 841-1764

KAREN LEONIA WALKER M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)