MYA INTERNAL MEDICINE, INC
NPI 1417739517
Clinic/Center - Health Service in Orlando, FL
About Mya Internal Medicine, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MYA INTERNAL MEDICINE, INC (NPI 1417739517) is a healthcare organization registered as a health service in Orlando, Florida and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Adalgiza Elena Costa Moron, Internal Medicine Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mya Internal Medicine, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mya Internal Medicine, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D2327333
Mya Internal Medicine Inc · Orlando, FLFrequently 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 Mya Internal Medicine, Inc's NPI number?
The NPI number for Mya Internal Medicine, Inc is 1417739517. It was assigned to this organization in the NPPES registry on October 16, 2023.
Where is Mya Internal Medicine, Inc located?
Mya Internal Medicine, Inc is located at 6718 Lake Nona Blvd Ste 120, Orlando, FL 32827. The listed phone number is (321) 400-0451.
What is Mya Internal Medicine, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Mya Internal Medicine, Inc enrolled in Medicare?
Yes. Mya Internal Medicine, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mya Internal Medicine, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mya Internal Medicine, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mya Internal Medicine, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2327333) is associated with this NPI, valid through July 21, 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 Mya Internal Medicine, Inc was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mya Internal Medicine, Inc · NPI 1417739517
Health Service organization in Orlando, Florida. Organization record, active in the CMS NPPES registry since October 16, 2023.
## Identity
- **NPI:** 1417739517 (Entity type: Organization)
- **Enumerated:** October 16, 2023
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Adalgiza Costa Moron, INTERNAL MEDICINE DIRECTOR
## Practice location
- **Address:** 6718 LAKE NONA BLVD STE 120, Orlando, FL 32827-7984
- **Phone:** (321) 400-0451
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417739517) · Data from the CMS NPPES public registry.