PAUL D SOVRAN MD PA
NPI 1588979488
Internal Medicine - Geriatric Medicine in Kissimmee, FL

Active since August 16, 2010
211 RUBY AVE, KISSIMMEE, FL 34741(407) 847-3333(407) 847-8622 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Paul D Sovran Md Pa NPPES

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

PAUL D SOVRAN MD PA (NPI 1588979488) is a healthcare organization registered as a geriatric medicine in Kissimmee, Florida and active in the NPI registry since August 2010. The organization lists Paul David Sovran, Owner, as its authorized official.

NPPES Registry Identity

NPI1588979488
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NamePAUL D SOVRAN MD PA
Location Address211 RUBY AVEKissimmee, FL 34741-5679
Mailing Address211 Ruby AveKissimmee, FL 34741-5679 · (407) 847-3333 · Fax (407) 847-8622
Fax(407) 847-8622
Organization SubpartNo
Authorized OfficialPaul David SovranOwner · (407) 847-3333
Enumeration DateAugust 16, 2010
✔ NPI 1588979488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in FL · 037109
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
211 RUBY AVE, Kissimmee, FL 34741

Other Identifiers 1

Medicare UPIN47471FL

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 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)

Paul D Sovran Md Pa 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 Paul D Sovran MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Geriatric Medicine
NPI 1093710097
211 EAST RUBY AVE
Kissimme, FL 34741
(407) 847-3333
✔ 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 Paul D Sovran MD PA's NPI number?

The NPI number for Paul D Sovran MD PA is 1588979488. It was assigned to this organization in the NPPES registry on August 16, 2010.

Where is Paul D Sovran MD PA located?

Paul D Sovran MD PA is located at 211 Ruby Ave, Kissimmee, FL 34741. The listed phone number is (407) 847-3333.

What is Paul D Sovran MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Paul D Sovran MD PA enrolled in Medicare?

Yes. Paul D Sovran MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paul D Sovran MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Geriatric Medicine) reassigns their Medicare billing to Paul D Sovran MD PA. 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 Paul D Sovran MD PA was last updated on August 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.