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SSP MEDICINE INC
NPI 1528203593
Clinic/Center - Medical Specialty in Deltona, FL

Active since December 04, 2008
1565 SAXON BLVD, SUITE 204, DELTONA, FL 32725(386) 742-4343 Get Directions Write a Review

NPPES record last updated: December 10, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ssp Medicine Inc NPPES

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

SSP MEDICINE INC (NPI 1528203593) is a healthcare organization registered as a medical specialty in Deltona, Florida and active in the NPI registry since December 2008. The organization lists Alex Khromov, President, as its authorized official.

NPPES Registry Identity

NPI1528203593
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSSP MEDICINE INC
Location Address1565 SAXON BLVD, SUITE 204Deltona, FL 32725-5876
Mailing Address1565 Saxon Blvd, Suite 204Deltona, FL 32725-5876 · (386) 742-4343
Phone(386) 742-4343
Organization SubpartNo
Authorized OfficialAlex KhromovPresident · (386) 742-4343
Enumeration DateDecember 4, 2008
Last NPPES UpdateDecember 10, 2008
✔ NPI 1528203593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in FL · ME96564
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy 261QR0401X · License ME96564 (FL)
1565 SAXON BLVD, Deltona, FL 32725
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ssp Medicine Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ssp Medicine Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Alex Khromov, M.D.
Interventional Pain Management
NPI 1689787707
1565 SAXON BLVD SUITE 204
Deltona, FL 32725
(386) 742-4343
✔ PECOS✔ Accepts MedicareSame address
Kristeen Ortega, MD
Physical Medicine and Rehabilitation
NPI 1902093446
1565 SAXON BLVD SUITE 204
Deltona, FL 32725
(386) 742-4343
✔ PECOS✔ Accepts MedicareSame address

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 Ssp Medicine Inc's NPI number?

The NPI number for Ssp Medicine Inc is 1528203593. It was assigned to this organization in the NPPES registry on December 4, 2008.

Where is Ssp Medicine Inc located?

Ssp Medicine Inc is located at 1565 Saxon Blvd Suite 204, Deltona, FL 32725. The listed phone number is (386) 742-4343.

What is Ssp Medicine Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Ssp Medicine Inc enrolled in Medicare?

Yes. Ssp Medicine Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ssp Medicine Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ssp Medicine Inc, in Interventional Pain Management and Physical Medicine and Rehabilitation. 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 Ssp Medicine Inc was last updated on December 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.