Active NPI
Fabio Oliveros & Associates PA
- Nephrology Physician
- Sebring, FL
National Provider Identifier
1003147158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME0041053
- Legal business name
- FABIO OLIVEROS & ASSOCIATES PA
- Practice address
- 130 Medical Center Ave
Sebring, FL 33870-5463 - Phone
- (863) 385-2606
- Fax
- (863) 382-0184
- NPI assigned
- Jan 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fabio Oliveros, M.D.
- Title
- Owner
- Phone
- (863) 385-2606
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME93285 | FL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME94328 | FL | |
| Nephrology Physician | 207RN0300X | ME0041053 | FL | Primary |
| Nephrology Physician | 207RN0300X | ME103963 | FL |
Addresses
Primary practice location
130 Medical Center Ave
Sebring, FL 33870-5463
Mailing address
130 Medical Center Ave
Sebring, FL 33870-5463
Phone (863) 385-2606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100603000178 | FL | Part B Supplier - Clinic/Group Practice | 0648247056 |
Receives reassigned benefits from 9 practitioners Practice locations: Sebring, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1014109 | Fabio Oliveros & Associates | Certificate of waiver | Jun 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
130 Medical Center Ave
Sebring, FL 33870
Phone (863) 385-2606
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60407
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Tustin, CA
- NPI 1881649853
Endocrinology, Diabetes & Metabolism
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264636800000",
"number": "1003147158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MEDICAL CENTER AVE",
"city": "SEBRING",
"state": "FL",
"postal_code": "338705463",
"telephone_number": "863-385-2606",
"fax_number": "863-382-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MEDICAL CENTER AVE",
"city": "SEBRING",
"state": "FL",
"postal_code": "338705463",
"telephone_number": "863-385-2606",
"fax_number": "863-382-0184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FABIO OLIVEROS & ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-28",
"last_updated": "2010-01-28",
"status": "A",
"authorized_official_last_name": "OLIVEROS",
"authorized_official_first_name": "FABIO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-385-2606",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME93285",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME94328",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME0041053",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME103963",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.