Individual provider Active NPI

Jose Roberto De Olazabal, M.D.

  • Pulmonary Disease Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1497779706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME 42106 Issued in FL
Practice address
3400 Burns Rd
Suite 201
Palm Beach Gardens, FL 33410-4325
Phone
(561) 694-1101
Fax
(561) 694-1102
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME 42106 FL Primary

Addresses

Primary practice location

3400 Burns Rd
Suite 201
Palm Beach Gardens, FL 33410-4325

Mailing address

3400 Burns Rd
Suite 201
Palm Beach Gardens, FL 33410-4325
Phone (561) 694-1101

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
I20110303000716 FL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 4385826957 Practice locations: Palm Beach Gardens, FL

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3400 Burns Rd
Suite 201
Palm Beach Gardens, FL 33410-4352
Phone (561) 694-1101

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 42106FLMDPulmonary Disease Physician
42106FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lung Specialists of Palm Beach, PL Pulmonary Disease Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jdeolazabal19648@jupitermedicalcenter.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497779706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BURNS RD",
            "address_2": "SUITE 201",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104325",
            "telephone_number": "561-694-1101",
            "fax_number": "561-694-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BURNS RD",
            "address_2": "SUITE 201",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104325",
            "telephone_number": "561-694-1101",
            "fax_number": "561-694-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE OLAZABAL",
        "first_name": "JOSE",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME 42106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.