MEDICAL VILLAGE HEALTHCARE GROUP
NPI 1487621694
Pediatrics in Kissimmee, FL

Q: What is Medical Village Healthcare Group's NPI number?

The NPI number for Medical Village Healthcare Group is 1487621694. It was assigned to this organization in the NPPES registry on March 7, 2006.

Q: What is Medical Village Healthcare Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 07, 2006

201 HILDA ST, SECOND FLOOR SUITE 21, KISSIMMEE, FL 34741(407) 944-9777(407) 888-3310 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Medical Village Healthcare Group NPPES

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

MEDICAL VILLAGE HEALTHCARE GROUP (NPI 1487621694) is a healthcare organization registered as a pediatrics in Kissimmee, Florida and active in the NPI registry since March 2006. The organization maintains a secondary practice location in Kissimmee and lists Khalid Manzur, President, as its authorized official.

NPPES Registry Identity

NPI1487621694

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameMEDICAL VILLAGE HEALTHCARE GROUP

Location Address201 HILDA ST, SECOND FLOOR SUITE 21Kissimmee, FL 34741-2320

Mailing Address1462 W Oak Ridge RdOrlando, FL 32809-3905 · (407) 944-9777 · Fax (407) 944-9796

Phone(407) 944-9777

Fax(407) 888-3310

Organization SubpartNo

Authorized OfficialKhalid ManzurPresident · (407) 944-9777

Enumeration DateMarch 7, 2006

Last NPPES UpdateMarch 29, 2021

NPPES CertifiedMarch 29, 2021

✔ NPI 1487621694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal MedicineTaxonomy 207R00000X

201 HILDA ST, Kissimmee, FL 34741

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Secondary Practice Location 1

Location 1816 W Oak StKissimmee, FL 34741 · Phone (407) 944-9777 · Fax (407) 944-9796

Other Identifiers 4

Other62935ZFL · Individual Provider Ptan

OtherA61366FL · Individual Provider Upin

OtherAC082ZFL · Individual Provider Ptan

OtherG14896FL · Individual Provider Upin

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Village Healthcare Group 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 Medical Village Healthcare Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Khalid Manzur, M.D

Internal Medicine

NPI 1447223193

1462 W OAK RIDGE RD
Orlando, FL 32809

(407) 888-6990

✔ PECOS11 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 Medical Village Healthcare Group's NPI number?

The NPI number for Medical Village Healthcare Group is 1487621694. It was assigned to this organization in the NPPES registry on March 7, 2006.

Where is Medical Village Healthcare Group located?

Medical Village Healthcare Group is located at 201 Hilda St Second Floor Suite 21, Kissimmee, FL 34741. The listed phone number is (407) 944-9777.

What is Medical Village Healthcare Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Medical Village Healthcare Group enrolled in Medicare?

Yes. Medical Village Healthcare Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Village Healthcare Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Medical Village Healthcare Group. 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.

When was this NPI record last updated?

The NPPES record for Medical Village Healthcare Group was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.