Supreme Medical Group PLLC
NPI 1073970810 · Infectious Disease Physician · Orlando, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Supreme Medical Group PLLC is a Infectious Disease Physician organization in Orlando, FL (NPI 1073970810).
Provider details
- NPI number
- 1073970810
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sheena Jose, Medical Director(407) 930-1030
- License
- ME109765 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
- 2016-01-25
- Last updated
- 2020-12-23
- Certified
- 2020-12-23
Frequently asked questions
- What is Supreme Medical Group PLLC's NPI number?
- Supreme Medical Group PLLC's National Provider Identifier (NPI) is 1073970810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Medical Group PLLC?
- Supreme Medical Group PLLC is classified in the NPPES registry as Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Supreme Medical Group PLLC located?
- Supreme Medical Group PLLC's practice location on file with NPPES is 10967 Lake Under Hill Rd, Orlando, FL 32825-4455.
- What is Supreme Medical Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Supreme Medical Group PLLC is (407) 930-1030.
- Does Supreme Medical Group PLLC accept Medicare?
- Supreme Medical Group PLLC 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 Supreme Medical Group PLLC?
- The authorized official listed on Supreme Medical Group PLLC's NPPES record is Sheena Jose, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Medical Group PLLC's NPI active?
- Yes — Supreme Medical Group PLLC's NPI (1073970810) is active in the NPPES registry as of the last update on 2020-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.