NPIMap

Individual provider Active NPI

Elpidio Antonio Abreu, MD

  • Nephrology Physician
  • Ocoee, FL
National Provider Identifier
1174597025
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME70401 Issued in FL
Practice address
1552 Boren Dr
Ocoee, FL 34761-4216
Phone
(407) 905-8172
Fax
(407) 905-8878
NPI assigned
Feb 16, 2006
Last updated
Apr 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME70401 FL Primary

Addresses

Primary practice location

1552 Boren Dr
Ocoee, FL 34761-4216

Mailing address

3885 Oakwater Cir
Orlando, FL 32806-6257
Phone (407) 851-5600

Other identifiers 4

IdentifierTypeStateIssuer
31929OtherFLBC/BS
3100097OtherFLUNITED HEALTHCARE
2007366OtherFLAETNA
379698100MedicaidFL

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
I20050617000573 FL Practitioner - NephrologyPractitioner - Internal Medicine 8820032071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Florida Kidney Specialists IncGroup PAC ID 6608233705, 38 clinicians

Practice addresses (Care Compare)

10131 W Colonial Dr
Suite 4
Ocoee, FL 34761-4221
Phone (407) 905-8172

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME70401FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Central Florida, P.a. Nephrology CurrentSince Jun 1, 2010 Accepting new patients
Central Florida Kidney Specialists Inc Nephrology CurrentSince Mar 1, 2023 Accepting new patients
West Orange Nephrology LLC Nephrology Past Accepting new patients

Locations

10131 W Colonial Dr
Ste 4
Ocoee, FL 34761
Phone (407) 298-4910

1552 Boren Dr
Ocoee, FL 34761
Phone (407) 905-8172

1511 Sligh Blvd
Unit A
Orlando, FL 32806
Phone (407) 317-9000

2501 N Orange Ave
Ste 537N
Orlando, FL 32804
Phone (407) 894-4693

3885 Oakwater Cir
Orlando, FL 32806
Phone (407) 816-5700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: elpidio.abreu@direct.davitaphysiciansolutions.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCFJCA

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.

Hospital & facility affiliations 9

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1174597025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066257",
            "telephone_number": "407-851-5600",
            "fax_number": "407-438-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 BOREN DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614216",
            "telephone_number": "407-905-8172",
            "fax_number": "407-905-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABREU",
        "first_name": "ELPIDIO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME70401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "31929",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3100097",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2007366",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379698100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.