SPEKTRUM HEALTH
NPI 1467921767
Clinic/Center - Primary Care in Orlando, FL

Active since November 15, 2018CLIA 10D2175127 · Waiver
5205 S ORANGE AVE STE 110, ORLANDO, FL 32809(407) 454-1363(321) 247-7391 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 26, 2022, Jan 22, 2021, Jul 19, 2019 and 3 more (6 updates tracked since 2018).

About Spektrum Health NPPES

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

SPEKTRUM HEALTH (NPI 1467921767) is a healthcare organization registered as a primary care in Orlando, Florida and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Joseph Anthony Knoll, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467921767
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSPEKTRUM HEALTH
Location Address5205 S ORANGE AVE STE 110Orlando, FL 32809-3067
Mailing Address5205 S Orange Ave Ste 110Orlando, FL 32809-3067 · (407) 454-1363 · Fax (321) 247-7391
Fax(321) 247-7391
Organization SubpartNo
Authorized OfficialJoseph Anthony KnollCeo · (407) 454-1363
Enumeration DateNovember 15, 2018
Last NPPES UpdateJanuary 26, 20226 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2022
✔ NPI 1467921767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedInternal MedicineTaxonomy 207R00000X
5205 S ORANGE AVE STE 110, Orlando, FL 32809

Other Identifiers 3

Medicaid015139500FL
Other1061098FL · Cigna
Other0WDSQFL · Florida Blue

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spektrum Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Spektrum Health, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1023418126
8000 S ORANGE AVE STE 210
Orlando, FL 32809
(407) 454-1363
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1790329811
2100 N. ORANGE AVE SUITE A
Orlando, FL 32804
(407) 454-1363
✔ PECOS✔ Accepts Medicare5.9 mi
Clinical Social Worker
NPI 1760227896
265 E ROLLINS ST STE 8100
Orlando, FL 32804
(407) 821-3555
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1770190530
400 FRANDORSON CIR STE 4110
Apollo Beach, FL 33572
(813) 790-5887
✔ PECOS80 mi

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 10D2175127

Spektrum Health, Inc · Orlando, FL
Active · expires Nov 14, 2027
CLIA Number10D2175127
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorJoseph A. Knoll
Laboratory Phone(407) 454-1363
Laboratory LocationSpektrum Health, Inc5205 South Orange Ave Suite #110, Orlando, FL 32809
CLIA data matches this NPI record on: 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 Spektrum Health's NPI number?

The NPI number for Spektrum Health is 1467921767. It was assigned to this organization in the NPPES registry on November 15, 2018.

Where is Spektrum Health located?

Spektrum Health is located at 5205 S Orange Ave Ste 110, Orlando, FL 32809. The listed phone number is (407) 454-1363.

What is Spektrum Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Spektrum Health enrolled in Medicare?

Yes. Spektrum Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spektrum Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Spektrum Health. 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 (3) and Clinical Social Worker (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Spektrum Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2175127) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spektrum Health accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Spektrum Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spektrum Health was last updated on January 26, 2022. 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.