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DR. NICHOLAS D. POULOS MD
NPI 1669446894
Surgery - Pediatric Surgery in Orlando, FL

Active since February 14, 2006PECOS Enrolled
6535 NEMOURS PKWY, ORLANDO, FL 32827(407) 650-7000(407) 567-5924 Get Directions Write a Review

NPPES record last updated: September 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nicholas D. Poulos Md NPPES

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

DR. NICHOLAS D. POULOS MD (NPI 1669446894) is an individual pediatric surgery provider in Orlando, Florida, licensed in Florida (ME90981) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669446894
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. NICHOLAS D. POULOSCredential: MD
Location Address6535 NEMOURS PKWYOrlando, FL 32827-7884
Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4100
Phone(407) 650-7000
Fax(407) 567-5924
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateSeptember 16, 2023
NPPES CertifiedSeptember 16, 2023
✔ NPI 1669446894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in FL · ME90981
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
6535 NEMOURS PKWY, Orlando, FL 32827
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Other Identifiers 2

Medicaid270512500FL
Medicaid667777318AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) 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 (PECOS)

Dr. Nicholas D. Poulos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

5

Medicare enrollment records show Nicholas Poulos reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Medical Group Inc
13 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100
The Nemours Foundation
130 mi
Multi-Specialty
10140 CENTURION PKWY N, THE NEMOURS FOUNDATION
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1386658615 (904) 697-5628
Tenet Florida Physician Services LLC
136 mi
Surgery
1411 N FLAGLER DR STE 8000
West Palm Beach, FL 33401
  • Reassigned Medicare billing, Florida enrollment
  • 528 clinicians in this Medicare group
NPI 1659417467 (561) 650-6231
University Of Florida Jacksonville Physicians Inc
138 mi
Neurological Surgery
580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1225298599 (904) 244-3660
Rockford Health Physicians
1,053 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428

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

Other Providers at the Same Location NPPES 20

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

ADALBERTO TORRES MD
Pediatrics (Pediatric Critical Care Medicine)
6535 NEMOURS PKWY
ORLANDO, FL 32827
Orange County (407) 650-4005
CARLOS ALBERTO VILLARREAL PA-C
Physician Assistant
6535 NEMOURS PKWY
ORLANDO, FL 32827
Orange County (407) 650-7000
MEGHAN DOLORES BURGOS APRN
Nurse Practitioner (Pediatrics)
6535 NEMOURS PKWY
ORLANDO, FL 32827
Orange County (407) 650-7000
VICTORIA VAZQUEZ MD
Student in an Organized Health Care Education/Training Program
6535 NEMOURS PKWY
ORLANDO, FL 32827
Orange County (407) 567-4000
JENNIFER STAGGS APRN
Nurse Practitioner (Neonatal)
6535 NEMOURS PKWY
ORLANDO, FL 32827
Orange County (407) 567-4000
SYDNEY LEMAY PA-C
Physician Assistant
6535 NEMOURS PKWY
ORLANDO, FL 32827
Orange County (407) 567-4000
DYLAN MICHAEL ALLEN MSPH, CGC
Genetic Counselor, MS
6535 NEMOURS PKWY
ORLANDO, FL 32827
Orange County (407) 650-7715
DR. MARTY CHRISTOPHER MCGRAW M.D.
Radiology (Pediatric Radiology)
6535 NEMOURS PKWY
ORLANDO, FL 32827
Orange County (407) 650-7323

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 Nicholas Poulos's NPI number?

The NPI number for Nicholas Poulos is 1669446894. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Nicholas Poulos located?

Nicholas Poulos practices at 6535 Nemours Pkwy, Orlando, FL 32827. The listed phone number is (407) 650-7000.

What is Nicholas Poulos's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Nicholas Poulos enrolled in Medicare?

Yes. Nicholas Poulos is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicholas Poulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Poulos reassigns Medicare benefits to 5 organizations: Florida Hospital Medical Group Inc (Orlando, FL), The Nemours Foundation (Jacksonville, FL), Tenet Florida Physician Services LLC (West Palm Beach, FL), University Of Florida Jacksonville Physicians Inc (Jacksonville, FL) and Rockford Health Physicians (Rockford, IL). Each 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 Nicholas Poulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Poulos accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Nicholas Poulos 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 Nicholas Poulos was last updated on September 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.