NPIMap

Individual provider Active NPI

Olga Freeman, MD

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1306848726
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0068876 Issued in FL
Practice address
13641 Metropolis Ave Ste 101
Fort Myers, FL 33912-4433
Phone
(239) 225-7261
Fax
(239) 225-7945
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0068876 FL Primary

Addresses

Primary practice location

13641 Metropolis Ave Ste 101
Fort Myers, FL 33912-4433

Mailing address

13641 Metropolis Ave Ste 101
Fort Myers, FL 33912-4433
Phone (239) 225-7261

Other identifiers 1

IdentifierTypeStateIssuer
AC380OtherFLMEDICARE

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
I20070507000169 FL Practitioner - Internal Medicine 4880790948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

13641 Metropolis Ave
Suite 101
Fort Myers, FL 33912-4433

1499 S Brandywine Cir
Fort Myers, FL 33919-6775
Phone (239) 202-0059

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Fort Myers, FL, CCN 683113
  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Lee Memorial Home Health, Inc. Home health agency, Fort Myers, FL, CCN 107191
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0068876FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olga Freeman MD PA CurrentSince Feb 1, 2007 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

13641 Metropolis Ave
Ste 101
Fort Myers, FL 33912
Phone (239) 225-7261

Interoperability endpoints

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

Organizations & group practices 2

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 8

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1306848726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13641 METROPOLIS AVE STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124433",
            "telephone_number": "239-225-7261",
            "fax_number": "239-225-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13641 METROPOLIS AVE STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124433",
            "telephone_number": "239-225-7261",
            "fax_number": "239-225-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0068876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AC380",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.