Individual provider Active NPI

Christian O Oraedu, MD

  • Surgery Physician
  • Ocala, FL
National Provider Identifier
1164490637
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME85455 Issued in FL
Practice address
1830 SE 18TH Ave
Ste 3
Ocala, FL 34471-8314
Phone
(352) 690-6000
Fax
(352) 690-6643
NPI assigned
Mar 10, 2006
Last updated
Nov 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME85455 FL Primary
Colon & Rectal Surgery Physician 208C00000X ME85455 FL

Addresses

Primary practice location

1830 SE 18TH Ave
Ste 3
Ocala, FL 34471-8314

Mailing address

PO Box 6195
Ocala, FL 34478
Phone (352) 690-6000

Other identifiers 1

IdentifierTypeStateIssuer
264505000MedicaidFL

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
I20040910000976 FL Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 2769458728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1830 SE 18TH Ave
Suite 3
Ocala, FL 34471-8348
Phone (352) 690-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy49
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal46
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Consultants of Central FL Surgery CurrentSince Jan 28, 2004 Accepting new patients
Marion Heart Associates, PA Past Accepting new patients
Surgical Associates of Marion County PA Surgery Past Accepting new patients

Locations

1830 SE 18th Ave
Ste 3
Ocala, FL 34471
Phone (352) 690-6000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHBBCA/Endpoint/DHBBCA

Organizations & group practices 4

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 4

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1164490637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6195",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34478",
            "telephone_number": "352-690-6000",
            "fax_number": "352-690-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 SE 18TH AVE",
            "address_2": "STE 3",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718314",
            "telephone_number": "352-690-6000",
            "fax_number": "352-690-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORAEDU",
        "first_name": "CHRISTIAN",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME85455",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME85455",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264505000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.