Active NPI
Rodrigo Pontes Pereira, M.D.
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1477741817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME105269
- Practice address
- 6320 Old Winter Garden Rd
Orlando, FL 32835-1381 - Phone
- (407) 290-0555
- Fax
- (407) 295-0028
- NPI assigned
- Oct 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME105269 | FL | Primary |
Addresses
Primary practice location
6320 Old Winter Garden Rd
Orlando, FL 32835-1381
Mailing address
PO Box 616788
Orlando, FL 32861-6788
Phone (407) 447-7120
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002448200 | Medicaid | FL | |
| IA163Z | Other | FL | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rodrigo.pereira@centerwell.eclinicaldirectplus.com | Direct |
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
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7139 Red Bug Lake Rd
Oviedo, FL 32765-8021
Phone (407) 699-6009
Hospital & facility affiliations
- Vitas Healthcare Corporation of Florida
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME105269 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Florida, LLC | Current | Accepting new patients | |
| Optumcare Florida LLC | Family Medicine | Current | Accepting new patients |
Locations
1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895
7139 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 699-6009
5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- rodrigo.pereira@centerwell.eclinicaldirectplus.com
- rodrigo.pereira@wellmed.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Tampa, FL
- NPI 1659884294
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1477741817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 616788",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328616788",
"telephone_number": "407-447-7120",
"fax_number": "407-770-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 OLD WINTER GARDEN RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328351381",
"telephone_number": "407-290-0555",
"fax_number": "407-295-0028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREIRA",
"first_name": "RODRIGO",
"middle_name": "PONTES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-11",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME105269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002448200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IA163Z",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rodrigo.pereira@centerwell.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6320 Old Winter Garden Rd",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328351381",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 29, 2021; 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.