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DR. SALLY SAMIR ELIAS MD
NPI 1841223633
General Practice in Orlando, FL

Active since July 08, 2006PECOS Enrolled
11715 ORPINGTON STREET, SUITE A, TLC PEDIATRICS AND ADOLESCENT MEDICINE IN ASSOC WITH NE, ORLANDO, FL 32817(407) 380-9115(407) 380-9189 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sally Samir Elias Md NPPES

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

DR. SALLY SAMIR ELIAS MD (NPI 1841223633) is an individual general practice provider in Orlando, Florida, licensed in Florida (ME92584) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841223633
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. SALLY SAMIR ELIASCredential: MD
Location Address11715 ORPINGTON STREET, SUITE A, TLC PEDIATRICS AND ADOLESCENT MEDICINE IN ASSOC WITH NEOrlando, FL 32817-4600
Mailing AddressP.o. Box 191, Provider Enrollment DepartmentRockland, DE 19732-0191 · (302) 651-4488 · Fax (302) 651-4945
Phone(407) 380-9115
Fax(407) 380-9189
Sole ProprietorNo
Enumeration DateJuly 8, 2006
Last NPPES UpdateNovember 9, 2012
✔ NPI 1841223633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME92584
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPediatricsTaxonomy 208000000X · License ME92588 (FL), ME92584 (FL)
11715 ORPINGTON STREET, SUITE A, Orlando, FL 32817
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Other Identifiers 8

Medicaid004130500FL
Other8894941FL · Cigna Healthcare
Medicare UPINI44941FL
Other2540464FL · United Healthcare
Other18160FL · Fhhs
Other7428721FL · Aetna Healthcare
Other28634FL · Bcbs
Medicaid28634ZFL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sally Samir Elias 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 Reassignment

Medicare enrollment records show Sally Elias reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation
117 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

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

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

DR. THOMAS A. LACY MD
General Practice
11715 ORPINGTON STREET, SUITE A, TLC PEDIATRICS AND ADOLESCENT MEDICINE IN ASSOC WITH NE
ORLANDO, FL 32817
Orange County (407) 380-9115

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 Sally Elias's NPI number?

The NPI number for Sally Elias is 1841223633. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Sally Elias located?

Sally Elias practices at 11715 Orpington Street, Suite A Tlc Pediatrics And Adolescent Medicine In Assoc With NE, Orlando, FL 32817. The listed phone number is (407) 380-9115.

What is Sally Elias's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Sally Elias enrolled in Medicare?

Yes. Sally Elias is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sally Elias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Elias reassigns Medicare benefits to The Nemours Foundation (Jacksonville, FL). The 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 Sally Elias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sally Elias was last updated on November 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.