NPIMap

Individual provider Active NPI

Lilian Astrid Otalora Rojas, MD

  • Rheumatology Physician
  • Jacksonville, FL
National Provider Identifier
1093218802
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME160963 Issued in FL
Practice address
13241 Bartram Park Blvd Unit 2105
Jacksonville, FL 32258-5224
Phone
(904) 292-4111
Fax
(904) 292-4080
NPI assigned
Mar 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME160963 FL Primary

Addresses

Primary practice location

13241 Bartram Park Blvd Unit 2105
Jacksonville, FL 32258-5224

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-1032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230822003986 FL Practitioner - Internal MedicinePractitioner - Rheumatology 8628431749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Healthcare, IncGroup PAC ID 5496652380, 42 clinicians

Practice addresses (Care Compare)

1344 S Apollo Blvd
Suite 303
Melbourne, FL 32901-3185
Phone (321) 724-1084

3149 N Ponce de Leon Blvd
Suite 1
St Augustine, FL 32084-8626
Phone (954) 790-9448

Hospital & facility affiliations

  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc Rheumatology CurrentSince Aug 14, 2023 Accepting new patients
Omni Healthcare, Inc. Rheumatology CurrentSince Feb 6, 2025 Accepting new patients
Omni Healthcare, Inc Current Accepting new patients
Rheumatology Wellness Center PLLC Rheumatology CurrentSince Jun 29, 2024 Accepting new patients
Baptist Primary Care Inc CurrentSince Aug 14, 2023 Accepting new patients

Locations

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

13241 Bartram Park Blvd
Unit 2105
Jacksonville, FL 32258
Phone (904) 292-4111

1344 S Apollo Blvd
Ste 303
Melbourne, FL 32901
Phone (321) 724-1084

6300 N Wickham Rd
Ste 132A
Melbourne, FL 32940
Phone (321) 253-4032

1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032

3149 N Ponce de Leon Blvd
Ste 1
St Augustine, FL 32084
Phone (904) 594-2424

Interoperability endpoints

  • Direct secure messaging: lilianotalorarojas@ohi.allscriptsdirect.net

Organizations & group practices 5

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

Hospital & facility affiliations 6

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": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1093218802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 2105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585224",
            "telephone_number": "904-292-4111",
            "fax_number": "904-292-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTALORA ROJAS",
        "first_name": "LILIAN",
        "middle_name": "ASTRID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME160963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.