Active NPI
Maria Regina Asevedo, MD
- Obstetrics & Gynecology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME109743
- Practice address
- 601 E Rollins St
Florida Hospital OB Specialists
Orlando, FL 32803-1248 - Phone
- (407) 975-0406
- Fax
- (407) 975-0407
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | M-9067 | ID | |
| Obstetrics & Gynecology Physician | 207V00000X | MD423486 | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | ME109743 | FL | Primary |
Addresses
Primary practice location
601 E Rollins St
Florida Hospital OB Specialists
Orlando, FL 32803-1248
Mailing address
1801 Lee Rd Ste 165
Winter Park, FL 32789-2127
Phone (407) 975-0406
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010147130 | Other | ID | REGENCE BLUE SHIELD |
| 1019641110001 | Medicaid | PA | |
| 7977586 | Other | AETNA | |
| 11437585 | Other | CAQH | |
| 806872900 | Medicaid | ID | |
| 267222 | Other | ID | ALTIUS |
| 109730 | Other | PA | GEISINGER |
| 200665392 | Other | PA | AMERIHEALTH MERCY |
| 001975906 | Other | PA | HIGHMARK BS |
| 70391 | Other | ID | BLUE CROSS ID |
| 822307 | Other | PA | FIRST PRIORITY HEALTH |
| 949545 | Other | FIRST HEALTH | |
| 50072156 | Other | PA | KEYSTONE CAPITAL BC |
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
- Obstetrics/Gynecology
- Education
- Tulane University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-9067 | ID | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Berwick Clinic Company LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1801 Lee Rd
Ste 165
Winter Park, FL 32789
Phone (407) 975-0406
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/1704/brand/1/csg/81/fhir/r4
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Obstetrics & Gynecology
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Family Medicine Physician
- Berwick, PA
- NPI 1184793127
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476576000000",
"number": "1417905753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 LEE RD STE 165",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892127",
"telephone_number": "407-975-0406",
"fax_number": "407-975-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ROLLINS ST",
"address_2": "FLORIDA HOSPITAL OB SPECIALISTS",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-975-0406",
"fax_number": "407-975-0407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASEVEDO",
"first_name": "MARIA",
"middle_name": "REGINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2016-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ID",
"license": "M-9067",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD423486",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME109743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "000010147130",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019641110001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7977586",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11437585",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806872900",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "267222",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "109730",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "200665392",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "001975906",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID",
"identifier": "70391",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "822307",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "949545",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE CAPITAL BC",
"identifier": "50072156",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2016; 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.