Randall Corey Orem, D.O.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

OS15763 Issued in FL

Practice address

295 NW Peacock Blvd
Port Saint Lucie, FL 34986-2212

Phone

(800) 991-6117

NPI assigned

Sep 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Interventional CardiologyAlso: Internal Medicine

Education

Wright State University Boonshoft School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wazni PLLCGroup PAC ID 2860629466, 30 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHAECD/Endpoint/IHAECD
• Direct secure messaging: randall.orem@uvvc.eclinicaldirectplus.com

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.

• Wazni, PLLC

  • Vascular Surgery Physician
  • Tampa, FL
  • NPI 1114353026
  Medicare reassignment Care Compare group NPD
• Certified Foot & Ankle Specialists

  • Non-Pharmacy Dispensing Site
  • Boca Raton, FL
  • NPI 1699904169
  Medicare reassignment NPD
• Certified Foot & Ankle Specialists

  • Non-Pharmacy Dispensing Site
  • Jupiter, FL
  • NPI 1083269955
  NPD
• Colorado Medical Group, PLLC

  • Vascular Surgery Physician
  • Fort Collins, CO
  • NPI 1356714638
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1497741409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 FAIRINGTON DR",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453658130",
            "telephone_number": "937-497-1200",
            "fax_number": "937-497-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 NW PEACOCK BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862212",
            "telephone_number": "800-991-6117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 Fairington Dr",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "453658130",
            "country_code": "US",
            "telephone_number": "937-497-1200",
            "fax_number": "937-497-7013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OREM",
        "first_name": "RANDALL",
        "middle_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "OH340038490",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS15763",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "OS15763",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138305",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0603592",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• One Family Home Care Services LLC
• One Love Medical Services Corporation
• Jennifer Macy Oosthuizen, LCSW
• Optimal Care Pediatrics LLC
• Optimum Solution Home Health LLC
• Miriam A Orieta, MA
• Selena Oropesa
• Rosaly Orta Garcia
• Marcia Oshoa-McEwen, OTR/L
• Kenisha Otaris

• Cardiovascular Disease Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.

Verify at the official NPI Registry.