Olavio A Antao, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

158866 Issued in NY

Practice address

135 Corporate Woods Ste 200C
Rochester, NY 14623

Phone

(585) 784-7848

Fax

(585) 784-7844

NPI assigned

Jun 25, 2006

Last updated

May 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Highland Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1972548568
  Medicare reassignment NPD
• University of Rochester

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1710226824
  Medicare reassignment NPD
• Highland Hospital of Rochester

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1740220698

  Internal Medicine

  NPD
• Highland Hospital of Rochester

  dba Highland Hospital Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1962725739
  NPD
• University of Rochester

  dba Strong Memorial Hospital-University of Rochester

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1598476269
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1093741548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CORPORATE WOODS STE 200C",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231459",
            "telephone_number": "585-784-7848",
            "fax_number": "585-784-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CORPORATE WOODS STE 200C",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14623",
            "telephone_number": "585-784-7848",
            "fax_number": "585-784-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTAO",
        "first_name": "OLAVIO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "158866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5535346",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00864640",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anola Transportation on Demand
• Jennifer H Anolik, MD
• Alicia Catherine Ansbrow, NP
• Amber O'Neal Anson, PT
• George W Anstadt, MD
• Brittany Anten
• Jaime Anterline, MA, LCAT, R-DMT
• Jordan Antetomaso
• Anthony C. Mesolella, D.D.S.
• Anthony L. Jordan Health Center

• Internal Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.