ENRIQUE OCTAVIO BUJANDA-MORUN MD
NPI 1568728343
Surgery in Clermont, FL

Q: What is Enrique Bujanda-morun's NPI number?

The NPI number for Enrique Bujanda-morun is 1568728343. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Q: What is Enrique Bujanda-morun's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 06, 2012PECOS EnrolledAccepts Medicare Assignment

1920 DON WICKHAM DR STE 115, CLERMONT, FL 34711(352) 323-9530(321) 842-8290 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 29, 2023, Feb 21, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Enrique Octavio Bujanda-morun Md NPPES

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

ENRIQUE OCTAVIO BUJANDA-MORUN MD (NPI 1568728343) is an individual surgery provider in Clermont, Florida, licensed in Florida (ME170482) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Orlando Health South Lake Hospital, and maintains a secondary practice location in Presque Isle.

NPPES Registry Identity

NPI1568728343

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameENRIQUE OCTAVIO BUJANDA-MORUNCredential: MD

Location Address1920 DON WICKHAM DR STE 115Clermont, FL 34711-1977

Mailing Address1920 Don Wickham Dr Ste 115Clermont, FL 34711-1977 · (352) 323-9530 · Fax (321) 842-8290

Phone(352) 323-9530

Fax(321) 842-8290

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateApril 6, 2012

Last NPPES UpdateOctober 16, 20244 updates tracked since enumeration

NPPES CertifiedOctober 16, 2024

✔ NPI 1568728343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in FL · ME170482✔ Licensed in ME · MD22263

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1920 DON WICKHAM DR STE 115, Clermont, FL 34711

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Secondary Practice Location 1

Location 1AR Gould Hospital 140 Academy StPresque Isle, ME 04769 · Phone (207) 764-4000

Other Identifiers 1

Medicaid124065300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Enrique Octavio Bujanda-morun Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355613209

PECOS Enrollment IDI20240930000504

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.

Medicare Billing Reassignments

Medicare enrollment records show Enrique Bujanda-morun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orlando Health Medical Group Inc

21 mi

Internal Medicine

52 W UNDERWOOD ST
Orlando, FL 32806

Reassigned Medicare billing, Florida enrollment
3,290 clinicians in this Medicare group

NPI 1669429577 (321) 841-2452

Thorek Memorial Hospital

982 mi

General Acute Care Hospital

850 W IRVING PARK RD
Chicago, IL 60613

Reassigned Medicare billing, Illinois enrollment
61 clinicians in this Medicare group

NPI 1982643961 (773) 525-6780

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100051

Location1900 Don Wickham DrClermont, FL 34711 · Lake County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

MILAGROS M FERNANDEZ VAZQUEZ M.D.

Surgery