Individual provider Active NPI

Andrew Rocker, DO

  • Family Medicine Physician
  • Oviedo, FL
National Provider Identifier
1063086809
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS19373 Issued in FL
Practice address
110 Alafaya Woods Blvd
Oviedo, FL 32765-4000
Phone
(407) 366-3577
NPI assigned
May 17, 2021
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X OS19373 FL Primary

Addresses

Primary practice location

110 Alafaya Woods Blvd
Oviedo, FL 32765-4000

Mailing address

110 Alafaya Woods Blvd
Oviedo, FL 32765-4000
Phone (407) 366-3577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240726003576 FL Practitioner - Family Practice 9830590058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

110 Alafaya Woods Blvd
Oviedo, FL 32765-4000
Phone (407) 366-3577

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS19373FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alafaya Woods Family Medical Center P a Family Medicine CurrentSince Jul 16, 2024 Accepting new patients

Locations

110 Alafaya Woods Blvd
Oviedo, FL 32765
Phone (407) 366-3577

110 Alafaya Woods Blvd
Ste A
Oviedo, FL 32765
Phone (407) 366-3577

Interoperability endpoints

  • Direct secure messaging: andrew.rocker.1@15338.direct.athenahealth.com
  • Direct secure messaging: arocker127477@adventhealth.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1063086809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ALAFAYA WOODS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654000",
            "telephone_number": "407-366-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ALAFAYA WOODS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654000",
            "telephone_number": "407-366-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKER",
        "first_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-17",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS19373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.