Individual provider Active NPI

Oscar Bentinganan, MD

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1336134568
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME71849 Issued in FL
Practice address
1836 Woodward St
Orlando, FL 32803
Phone
(407) 894-6980
Fax
(407) 894-6982
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 ME71849 FL Primary

Addresses

Primary practice location

1836 Woodward St
Orlando, FL 32803

Mailing address

1836 Woodward St
Orlando, FL 32803-4256
Phone (407) 894-6980

Other identifiers 1

IdentifierTypeStateIssuer
017799100MedicaidFL

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
I20090518000192 FL Practitioner - Internal Medicine 9335298694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Psychiatry IncGroup PAC ID 6800020504, 5 clinicians

Practice addresses (Care Compare)

1836 Woodward St
Orlando, FL 32803-4256
Phone (407) 883-9303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Psychiatry Inc CurrentSince May 2, 2024 Accepting new patients
South Volusia Medical Assoc Past Accepting new patients

Locations

1836 Woodward St
Orlando, FL 32803
Phone (407) 883-9303

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1336134568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 WOODWARD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034256",
            "telephone_number": "407-894-6980",
            "fax_number": "407-894-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 WOODWARD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803",
            "telephone_number": "407-894-6980",
            "fax_number": "407-894-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTINGANAN",
        "first_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017799100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.