Individual provider Active NPI

Lenore Omesi, M.D.

  • Pediatric Hematology & Oncology Physician
  • Hollywood, FL
National Provider Identifier
1457619488
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
ME152244 Issued in FL
Practice address
1150 N 35TH Ave Ste 100
Hollywood, FL 33021-5424
Phone
(954) 265-2234
Fax
(954) 985-2288
NPI assigned
Apr 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X ME152244 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave Ste 100
Hollywood, FL 33021-5424

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

9291 Glades Rd Ste 202
Boca Raton, FL 33434-3959
Phone (954) 265-2234

Other identifiers 1

IdentifierTypeStateIssuer
113846600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lomesi301244@MHSDIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District Current Accepting new patients
South Broward Hospital District Pediatric Hematology-Oncology CurrentSince May 23, 2022 Accepting new patients
South Broward Hospital District CurrentSince May 23, 2022 Accepting new patients

Locations

9291 Glades Rd
Ste 202
Boca Raton, FL 33434
Phone (954) 265-2234

1150 N 35th Ave
#200
Hollywood, FL 33021
Phone (954) 265-0000

1150 N 35th Ave
Ste 100
Hollywood, FL 33021
Phone (954) 265-2234

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

Interoperability endpoints

  • Direct secure messaging: lomesi301244@mhsdirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1457619488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-265-2234",
            "fax_number": "954-985-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9291 Glades Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334343959",
            "country_code": "US",
            "telephone_number": "954-265-2234",
            "fax_number": "954-893-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMESI",
        "first_name": "LENORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "FL",
            "license": "ME152244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113846600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lomesi301244@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "9291 Glades Rd Ste 202",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334343959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.