NPIMap

Individual provider Active NPI

Emma Bautista Ocampo, MD

  • Internal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1457328577
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME74802 Issued in FL
Practice address
339 Cypress Pkwy Ste 100
Kissimmee, FL 34759-3315
Phone
(407) 343-3333
Fax
(407) 343-8888
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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 ME74802 FL Primary

Addresses

Primary practice location

339 Cypress Pkwy Ste 100
Kissimmee, FL 34759-3315

Mailing address

5130 Sunforest Dr Ste 300
Tampa, FL 33634-6327
Phone (727) 824-0780

Other identifiers 2

IdentifierTypeStateIssuer
253906300MedicaidFL
44682OtherFLBC BS

Other names 1

  • Emma C Ocampo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000264 FL Practitioner - Internal Medicine 6002940467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

339 Cypress Pkwy
Suite 100
Kissimmee, FL 34759-3315
Phone (407) 343-3333

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Winter Haven, FL, CCN 107534
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • HCA Florida Poinciana Hospital Hospital, Kissimmee, FL, CCN 100320
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc CurrentSince Apr 1, 2016 Accepting new patients
Optumcare Florida, LLC CurrentSince Mar 27, 2023 Accepting new patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Apr 1, 2016 Accepting new patients
Optumcare Florida LLC Internal Medicine CurrentSince Mar 27, 2023 Accepting new patients

Locations

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

339 Cypress Pkwy
Ste 100
Poinciana, FL 34759
Phone (407) 343-3333

5802 N 30th St
Tampa, FL 33610
Phone (813) 236-5100

5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835

2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: emma.bautistaocampo@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

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 10

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1457328577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 SUNFOREST DR STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346327",
            "telephone_number": "727-824-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 CYPRESS PKWY STE 100",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593315",
            "telephone_number": "407-343-3333",
            "fax_number": "407-343-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA OCAMPO",
        "first_name": "EMMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME74802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253906300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "44682",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "OCAMPO",
            "middle_name": "C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.