Family Tree Medical Group, PA
NPI 1609243989 · General Practice Physician · Kissimmee, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Family Tree Medical Group, PA is a General Practice Physician organization in Kissimmee, FL (NPI 1609243989).
Provider details
- NPI number
- 1609243989
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Victor Pantoja, Ceo(407) 483-3200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
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
3 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 (2)
- 2201 North Blvd W Ste 2Davenport, FL 33837-8990Phone: (863) 353-1246Fax: (863) 419-9547
- 1050 W Carroll St Ste 2Kissimmee, FL 34741-1268Phone: (407) 201-3348Fax: (407) 518-0094
Registry dates
- Enumerated
- 2015-08-21
- Last updated
- 2024-10-28
- Certified
- 2024-10-28
Frequently asked questions
- What is Family Tree Medical Group, PA's NPI number?
- Family Tree Medical Group, PA's National Provider Identifier (NPI) is 1609243989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Tree Medical Group, PA?
- Family Tree Medical Group, PA is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Family Tree Medical Group, PA located?
- Family Tree Medical Group, PA's practice location on file with NPPES is 1150 Cypress Glen Cir, Kissimmee, FL 34741-7560.
- What is Family Tree Medical Group, PA's phone number?
- The practice phone number listed in the NPPES registry for Family Tree Medical Group, PA is (407) 483-3200.
- Does Family Tree Medical Group, PA accept Medicare?
- Family Tree Medical Group, PA 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 Family Tree Medical Group, PA?
- The authorized official listed on Family Tree Medical Group, PA's NPPES record is Victor Pantoja, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Tree Medical Group, PA's NPI active?
- Yes — Family Tree Medical Group, PA's NPI (1609243989) is active in the NPPES registry as of the last update on 2024-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.