Medical Village Healthcare Group
NPI 1487621694 · Pediatrics Physician · Kissimmee, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medical Village Healthcare Group is a Pediatrics Physician organization in Kissimmee, FL (NPI 1487621694).
Provider details
- NPI number
- 1487621694
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Khalid Manzur, President(407) 944-9777
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
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 816 W Oak StKissimmee, FL 34741Phone: (407) 944-9777Fax: (407) 944-9796
Registry dates
- Enumerated
- 2006-03-07
- Last updated
- 2021-03-29
- Certified
- 2021-03-29
Frequently asked questions
- What is Medical Village Healthcare Group's NPI number?
- Medical Village Healthcare Group's National Provider Identifier (NPI) is 1487621694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Village Healthcare Group?
- Medical Village Healthcare Group is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Medical Village Healthcare Group located?
- Medical Village Healthcare Group's practice location on file with NPPES is 201 Hilda St, Kissimmee, FL 34741-2320.
- What is Medical Village Healthcare Group's phone number?
- The practice phone number listed in the NPPES registry for Medical Village Healthcare Group is (407) 944-9777.
- Does Medical Village Healthcare Group accept Medicare?
- Medical Village Healthcare Group 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 Medical Village Healthcare Group?
- The authorized official listed on Medical Village Healthcare Group's NPPES record is Khalid Manzur, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Village Healthcare Group's NPI active?
- Yes — Medical Village Healthcare Group's NPI (1487621694) is active in the NPPES registry as of the last update on 2021-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.