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: August 02, 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
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

Other Identifiers 2

Medicaid270512500FL
Medicaid667777318AGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Pediatrics (Pediatric Critical Care Medicine)
6535 NEMOURS PKWY
ORLANDO, FL 32827
Physician Assistant
6535 NEMOURS PKWY
ORLANDO, FL 32827
Nurse Practitioner (Pediatrics)
6535 NEMOURS PKWY
ORLANDO, FL 32827
Student in an Organized Health Care Education/Training Program
6535 NEMOURS PKWY
ORLANDO, FL 32827
Nurse Practitioner (Neonatal)
6535 NEMOURS PKWY
ORLANDO, FL 32827
Physician Assistant
6535 NEMOURS PKWY
ORLANDO, FL 32827
Genetic Counselor, MS
6535 NEMOURS PKWY
ORLANDO, FL 32827
Radiology (Pediatric Radiology)
6535 NEMOURS PKWY
ORLANDO, FL 32827

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.

What insurance does Nicholas Poulos accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) 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 2 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.