Active NPI
Maximo Lama, MD
- Critical Care Medicine (Internal Medicine) Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- ME109403
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00-3705600 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 109403 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Respro Sleep | Current | Accepting new patients | |
| Florida Lung Asthma and Sleep Specialists, P.a. | Pulmonary Disease | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Pulmonary Disease Physician
- Kissimmee, FL
- NPI 1316228364
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Sleep Medicine (Internal Medicine) Physician
- Atlanta, GA
- NPI 1013752310
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.