Individual provider Active NPI

Carly Carrion Olmeda, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Ocala, FL
National Provider Identifier
1154671444
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME132382 Issued in FL
Practice address
2131 SW 20TH PL
Ocala, FL 34471-7734
Phone
(352) 368-1370
Fax
(352) 237-7728
NPI assigned
Sep 13, 2012
Last updated
May 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 022291 PR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 022291 PR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME132382 FL Primary

Addresses

Primary practice location

2131 SW 20TH PL
Ocala, FL 34471-7734

Mailing address

2230 SW 19TH Avenue Rd
Ocala, FL 34471-1391
Phone (352) 237-4133

Other practice location 1

2135 SW 19th Avenue Rd Ste 103
Ocala, FL 34471-7877
Phone (352) 237-4133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170708000320 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 2466729967 Reassigns benefits to 1 organization
I20230123002834 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 2466729967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ocala Family Medical Center IncGroup PAC ID 6608865290, 60 clinicians
Fajardo Medical LLCGroup PAC ID 1153792577, 2 clinicians

Practice addresses (Care Compare)

2230 SW 19TH Ave Rd
Ocala, FL 34471-1391
Phone (352) 237-4133

57 Calle Isabel Andreu E
Fajardo, PR 00738-4806
Phone (787) 663-6770

Merit-based Incentive Payment System (MIPS)

Final score
82.76 of 100Reported as group
Quality
82.62
Promoting interoperability
77
Improvement activities
40
Cost
79.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022291PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fajardo Medical LLC Endocrinology, Diabetes & Metabolism CurrentSince Dec 12, 2022 Accepting new patients
Ocala Family Medical Center, Inc. Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Solace Anesthesia, LLC PastSince Nov 1, 2019 Accepting new patients

Locations

2121 SW 22nd Pl
Ocala, FL 34471
Phone (352) 237-4133

2131 SW 20th Pl
Ocala, FL 34471
Phone (352) 237-4133

2135 SW 19th Avenue Rd
Ste 103
Ocala, FL 34471
Phone (352) 237-4133

2230 SW 19th Avenue Rd
Ocala, FL 34471
Phone (352) 237-4133

5 Calle a
#52
Fajardo, PR 00738

57 Calle Isabel Andreu E
Fajardo, PR 00738
Phone (787) 663-6770

Interoperability endpoints

  • Direct secure messaging: carly.carrionolmeda@ocalafmc.directbygreenway.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1154671444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 SW 19TH AVENUE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711391",
            "telephone_number": "352-237-4133",
            "fax_number": "352-237-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 SW 20TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717734",
            "telephone_number": "352-368-1370",
            "fax_number": "352-237-7728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 SW 19th Avenue Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717877",
            "country_code": "US",
            "telephone_number": "352-237-4133",
            "fax_number": "352-237-7728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRION OLMEDA",
        "first_name": "CARLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "022291",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "022291",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME132382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.