Individual provider Active NPI

Andrew W O'Leary, D.O.

  • Radiation Oncology Physician
  • Wellington, FL
National Provider Identifier
1376598995
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
OS8188 Issued in FL
Practice address
3343 State Road 7
Wellington, FL 33449-8002
Phone
(561) 795-9845
Fax
(561) 795-8791
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060706000073 OH Practitioner - Radiation Oncology 0143243162 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS8188FLMDRadiation Oncology Physician
28120MSMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Mar 1, 2022 Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System CurrentSince Mar 1, 2022 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients
Heartland Oncology Partners, LLC Radiation Oncology Past Accepting new patients
Tampa Bay Radiation Oncology, PA Radiation Oncology Past Accepting new patients
Heysek & Kepes MDS PA Radiation Oncology Past Accepting new patients
Central Florida Cancer Institute PA Radiation Oncology Past Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2500 Metrohealth Dr
#A107
Cleveland, OH 44109

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Interoperability endpoints

  • Direct secure messaging: aoleary20532@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: aoleary217969@direct.metrohealth.org
  • Direct secure messaging: aoleary@direct.mhg.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/_equjXi-I6k5_iN9ulQyh3xNMVDgQ7-w/

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 34006642 OH
Radiation Oncology Physician 2085R0001X 28120 MS
Radiation Oncology Physician 2085R0001X OS8188 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

3343 State Road 7
Wellington, FL 33449-8002

Mailing address

2234 Colonial Blvd
Attn: Payer Contracting & Relations Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other practice location 1

1340 Broad Ave Ste 140
Gulfport, MS 39501-2445
Phone (228) 575-2950

Other identifiers 11

NPPES NPI Registry
IdentifierTypeStateIssuer
7841172OtherFLAETNA
016656600MedicaidFL
P1034697OtherFLFREEDOM
0207207MedicaidOH
272245OtherFLAVMED
1242207OtherFLWELLCARE MEDICARE ONLY
2797880MedicaidOH
P970567OtherFLOPTIMUM
51677OtherFLBCBS
P01560759OtherFLRR MEDICARE
14361OtherFLDIMENSION

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 8, 2020.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1376598995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "ATTN: PAYER CONTRACTING & RELATIONS DEPT.",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 STATE ROAD 7",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498002",
            "telephone_number": "561-795-9845",
            "fax_number": "561-795-8791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Broad Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395012445",
            "country_code": "US",
            "telephone_number": "228-575-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "ANDREW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "34006642",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MS",
            "license": "28120",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "OS8188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7841172",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016656600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM",
            "identifier": "P1034697",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207207",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "272245",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICARE ONLY",
            "identifier": "1242207",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2797880",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "P970567",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51677",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01560759",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIMENSION",
            "identifier": "14361",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.