Individual provider Active NPI

Oscar Amador Oropeza, M.D.

  • Internal Medicine Physician
  • Lake Wales, FL
National Provider Identifier
1437106374
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME87271 Issued in FL
Practice address
425 S 11TH St
Ste. 2
Lake Wales, FL 33853-4239
Phone
(863) 676-8935
Fax
(863) 679-2691
NPI assigned
May 27, 2006
Last updated
Aug 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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 ME87271 FL Primary

Addresses

Primary practice location

425 S 11TH St
Ste. 2
Lake Wales, FL 33853-4239

Mailing address

425 S 11TH St
Suite 2
Lake Wales, FL 33853-4239
Phone (863) 676-8935

Other identifiers 6

IdentifierTypeStateIssuer
000808300OtherFLMEDICAID GROUP PROVIDER NUMBER
U0700YOtherFLMEDICARE ID
5354999OtherCIGNA
290817OtherFLAVMED
71303OtherFLBLUE CROSS BLUE SHIELD FL
266882300MedicaidFL

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
I20080930000533 FL Practitioner - Internal MedicinePractitioner - Preventive Medicine 8022183698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Preventive Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Wale Pediatric Internal Medicine P.a.Group PAC ID 0446325013, 2 clinicians

Practice addresses (Care Compare)

425 S 11TH St
Suite 2
Lake Wales, FL 33853-4239
Phone (863) 676-8935

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Wale Pediatric Internal Medicine P.a. CurrentSince Apr 2, 2008 Accepting new patients

Locations

1110 Druid Cir
Ste A
Lake Wales, FL 33853
Phone (863) 676-8935

425 S 11th St
Ste 2
Lake Wales, FL 33853
Phone (863) 676-8935

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGIEAA/Endpoint/GGIEAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1437106374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S 11TH ST",
            "address_2": "SUITE 2",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534239",
            "telephone_number": "863-676-8935",
            "fax_number": "863-679-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S 11TH ST",
            "address_2": "STE. 2",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534239",
            "telephone_number": "863-676-8935",
            "fax_number": "863-679-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OROPEZA",
        "first_name": "OSCAR",
        "middle_name": "AMADOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME87271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP PROVIDER NUMBER",
            "identifier": "000808300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "U0700Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5354999",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "290817",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "71303",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266882300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

Verify at the official NPI Registry.