Heathrow Internal Medicine LLC
NPI 1033387865 · Family Medicine Physician · Lake Mary, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heathrow Internal Medicine LLC is a Family Medicine Physician organization in Lake Mary, FL (NPI 1033387865).
Provider details
- NPI number
- 1033387865
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tedrick Johnson, Group Vp Operations(407) 333-2273
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-14
- Last updated
- 2014-05-28
Frequently asked questions
- What is Heathrow Internal Medicine LLC's NPI number?
- Heathrow Internal Medicine LLC's National Provider Identifier (NPI) is 1033387865, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heathrow Internal Medicine LLC?
- Heathrow Internal Medicine LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Heathrow Internal Medicine LLC located?
- Heathrow Internal Medicine LLC's practice location on file with NPPES is 4106 W Lake Mary Blvd, Lake Mary, FL 32746-3315.
- What is Heathrow Internal Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Heathrow Internal Medicine LLC is (407) 333-2273.
- Does Heathrow Internal Medicine LLC accept Medicare?
- Heathrow Internal Medicine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Heathrow Internal Medicine LLC?
- The authorized official listed on Heathrow Internal Medicine LLC's NPPES record is Tedrick Johnson, Group Vp Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heathrow Internal Medicine LLC's NPI active?
- Yes — Heathrow Internal Medicine LLC's NPI (1033387865) is active in the NPPES registry as of the last update on 2014-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.