Individual provider Active NPI

Osmani Piloto Rodriguez, M.D

  • Internal Medicine Physician
  • Sun City Center, FL
National Provider Identifier
1487085254
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
119427 Issued in FL
Practice address
139 S Pebble Beach Blvd
Ste 207
Sun City Center, FL 33573-5799
Phone
(813) 633-4000
Fax
(813) 633-4001
NPI assigned
Dec 4, 2013
Last updated
Sep 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 119427 FL Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

139 S Pebble Beach Blvd
Ste 207
Sun City Center, FL 33573-5799

Mailing address

139 S Pebble Beach Blvd
Ste 207
Sun City Center, FL 33573-5799
Phone (813) 633-4000

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
I20140922001326 FL Practitioner - Internal Medicine 4082833298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verimed Health Group Suncity, LLCGroup PAC ID 7214102433, 2 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

139 S Pebble Beach Blvd
Sun City, FL 33573-4712
Phone (813) 717-9000

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119427FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Verimed Health Group Brandon, LLC CurrentSince Jun 1, 2019 Accepting new patients
Millennium Physician Group LLC CurrentSince Feb 1, 2026 Accepting new patients
Millennium Physician Group LLC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients

Locations

500 Vonderburg Dr
Ste 310
Brandon, FL 33511
Phone (813) 324-9463

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

139 S Pebble Beach Blvd
Ste 207
Sun City Center, FL 33573
Phone (813) 415-5038

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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 1

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": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1487085254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 S PEBBLE BEACH BLVD",
            "address_2": "STE 207",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735799",
            "telephone_number": "813-633-4000",
            "fax_number": "813-633-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 S PEBBLE BEACH BLVD",
            "address_2": "STE 207",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735799",
            "telephone_number": "813-633-4000",
            "fax_number": "813-633-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILOTO RODRIGUEZ",
        "first_name": "OSMANI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-04",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "119427",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.