Individual provider Active NPI

Jeremy Jose Olloqui, D.O.

  • Internal Medicine Physician
  • Temple Terrace, FL
National Provider Identifier
1346632270
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS14469 Issued in FL
Practice address
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone
(813) 779-6303
Fax
(888) 977-1998
NPI assigned
Mar 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0116 WV
Hospitalist Physician 208M00000X OS14469 FL
Hospitalist Physician 208M00000X 0116 WV
Internal Medicine Physician 207R00000X OS14469 FL Primary

Addresses

Primary practice location

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926

Mailing address

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 779-6303

Other practice location 1

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

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
I20190104002093 FL Practitioner - Internal Medicine 2860783289 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Center for Comprehensive Palliative Care L L CGroup PAC ID 4082787254, 6 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

2700 Healing Way
Wesley Chapel, FL 33543-5453

3231 Sw34Th Ave
Ocala, FL 34474-8489
Phone (352) 291-5188

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14469FLMDHospitalist Physician
0116WVMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc Internal Medicine CurrentSince Apr 22, 2022 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Oct 10, 2018 Accepting new patients
Hospice of Marion County Inc CurrentSince Apr 15, 2020 Accepting new patients
Pioneer Medical Group, PL Internal Medicine CurrentSince Apr 8, 2019 Accepting new patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Nov 20, 2018 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Oct 10, 2018 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Apr 22, 2022 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine Current Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Apr 22, 2022 Accepting new patients
Center for Comprehensive Palliative Care L L C CurrentSince Apr 1, 2024 Accepting new patients

Locations

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

1528 SW 1st Ave
Ocala, FL 34471
Phone (352) 291-5881

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

3231 SW 34th Ave
Ocala, FL 34474
Phone (352) 873-7400

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100

515 Chesapeake Dr
Tarpon Springs, FL 34689
Phone (727) 934-4629

12470 Telecom Dr
Ste 100
Temple Terrace, FL 33637
Phone (813) 929-5454

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adventhealth OcalaOcala, FL, CCN 100062 Hospital Corporate Director Apr 9, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 1

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": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1346632270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13067 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370926",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13067 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370926",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-598-1200",
            "fax_number": "304-598-1699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLLOQUI",
        "first_name": "JEREMY",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-02",
        "last_updated": "2021-07-27",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "0116",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS14469",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WV",
            "license": "0116",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS14469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.