Individual provider Active NPI

Maximo Lama, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Kissimmee, FL
National Provider Identifier
1326276445
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME109403 Issued in FL
Practice address
3480 Polynesian Isle Blvd
Kissimmee, FL 34746
Phone
(407) 507-2615
Fax
(407) 507-2616
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME109403 FL Primary
Pulmonary Disease Physician 207RP1001X ME 109403 FL

Addresses

Primary practice location

3480 Polynesian Isle Blvd
Kissimmee, FL 34746

Mailing address

3480 Polynesian Isle Blvd
Kissimmee, FL 34746-1818
Phone (407) 507-2615

Other identifiers 1

IdentifierTypeStateIssuer
00-3705600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maximo.lama@direct.flass.nextgenshare.com

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
I20110829000340 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2163692260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Lung Asthma and Sleep Specialists, P.a.Group PAC ID 1052587573, 18 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

15540 W Colonial Dr
Winter Garden, FL 34787-9556
Phone (877) 352-5864

201 N Park Ave
Apopka, FL 32703-4147

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

3480 Polynesian Isle Blvd
Kissimmee, FL 34746-4654
Phone (877) 352-5864

4553 Pleasant Hill Rd
Kissimmee, FL 34759-3422
Phone (407) 483-8965

631 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-4802
Phone (407) 303-5214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.35 of 100Reported as group
Quality
93.32
Improvement activities
40
Cost
83.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 109403FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Aug 29, 2016 Accepting new patients
Respro Sleep CurrentSince Jul 23, 2025 Accepting new patients
Florida Lung Asthma and Sleep Specialists, P.a. Pulmonary Disease CurrentSince Dec 1, 2011 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 29, 2016 Accepting new patients

Locations

3480 Polynesian Isle Blvd
Kissimmee, FL 34746
Phone (407) 507-2615

2940 Mallory Cir
Ste 204
Kissimmee, FL 34747
Phone (407) 507-2615

4553 Pleasant Hill Rd
Kissimmee, FL 34759
Phone (407) 483-8965

960 Rinehart Rd
Ste 2040
Lake Mary, FL 32746

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

717 E Michigan St
Orlando, FL 32806
Phone (407) 515-8585

10929 Moss Park Rd Ste 118
Ste 118
Orlando, FL 32832

15540 W Colonial Dr
Winter Garden, FL 34787
Phone (877) 352-5864

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGCHDD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1326276445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 POLYNESIAN ISLE BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347461818",
            "telephone_number": "407-507-2615",
            "fax_number": "407-507-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 POLYNESIAN ISLE BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34746",
            "telephone_number": "407-507-2615",
            "fax_number": "407-507-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMA",
        "first_name": "MAXIMO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME109403",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME 109403",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00-3705600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maximo.lama@direct.flass.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3480 Polynesian Isle Blvd",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.