SEMINOLE SPORTS & FAMILY MEDICINE, PA
NPI 1699953521
Family Medicine in Oviedo, FL
About Seminole Sports & Family Medicine, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEMINOLE SPORTS & FAMILY MEDICINE, PA (NPI 1699953521) is a healthcare organization registered as a family medicine in Oviedo, Florida and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through June 7, 2028, maintains a secondary practice location in Oviedo, and lists Matthew Rosen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Seminole Sports & Family Medicine, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Seminole Sports & Family Medicine, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0974491
Seminole Sports & Family Medicine PA · Oviedo, FLFrequently 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 Seminole Sports & Family Medicine, PA's NPI number?
The NPI number for Seminole Sports & Family Medicine, PA is 1699953521. It was assigned to this organization in the NPPES registry on February 1, 2008.
Where is Seminole Sports & Family Medicine, PA located?
Seminole Sports & Family Medicine, PA is located at 798 Executive Dr, Oviedo, FL 32765. The listed phone number is (407) 359-8580.
What is Seminole Sports & Family Medicine, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Seminole Sports & Family Medicine, PA enrolled in Medicare?
Yes. Seminole Sports & Family Medicine, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Seminole Sports & Family Medicine, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Seminole Sports & Family Medicine, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Seminole Sports & Family Medicine, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0974491) is associated with this NPI, valid through June 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Seminole Sports & Family Medicine, PA accept?
Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Seminole Sports & Family Medicine, PA 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 Seminole Sports & Family Medicine, PA was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Seminole Sports & Family Medicine, Pa · NPI 1699953521
Family Medicine organization in Oviedo, Florida. Organization record, active in the CMS NPPES registry since February 1, 2008.
## Identity
- **NPI:** 1699953521 (Entity type: Organization)
- **Enumerated:** February 1, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Matthew Rosen, PRESIDENT
## Practice location
- **Address:** 798 EXECUTIVE DR, Oviedo, FL 32765
- **Phone:** (407) 359-8580 · **Fax:** (407) 359-8364
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699953521) · Data from the CMS NPPES public registry.