NPIMap

Individual provider Active NPI

Fabio Oliveros, M.D.

  • Nephrology Physician
  • Sebring, FL
National Provider Identifier
1497700462
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME41053 Issued in FL
Practice address
130 Medical Center Ave
Sebring, FL 33870-5463
Phone
(863) 385-2606
Fax
(863) 385-7723
NPI assigned
May 24, 2006
Last updated
Apr 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME41053 FL Primary

Addresses

Primary practice location

130 Medical Center Ave
Sebring, FL 33870-5463

Mailing address

130 Medical Center Ave
Sebring, FL 33870-5463
Phone (863) 385-2606

Other identifiers 1

IdentifierTypeStateIssuer
067267000MedicaidFL

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
I20040913000325 FL Practitioner - NephrologyPractitioner - Internal Medicine 1759358583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fabio Oliveros and Associates PAGroup PAC ID 0648247056, 4 clinicians

Practice addresses (Care Compare)

130 Medical Ctr Ave
Sebring, FL 33870-5463
Phone (863) 385-2606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fabio Oliveros & Associates PA Nephrology CurrentSince Feb 25, 2010 Accepting new patients

Locations

130 Medical Center Ave
Sebring, FL 33870
Phone (863) 385-2606

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60407

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, 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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1497700462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MEDICAL CENTER AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705463",
            "telephone_number": "863-385-2606",
            "fax_number": "863-385-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MEDICAL CENTER AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705463",
            "telephone_number": "863-385-2606",
            "fax_number": "863-385-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEROS",
        "first_name": "FABIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME41053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067267000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.