Individual provider Active NPI

Pedro T. Oliveros Jr., MD

  • Physical Medicine & Rehabilitation Physician
  • Maitland, FL
National Provider Identifier
1508966615
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME76859 Issued in FL
Practice address
341 N. Maitland Avenue
Suite 200
Maitland, FL 32751-4761
Phone
(407) 265-2100
Fax
(407) 265-2872
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME76859 FL Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME 76859 FL
Physical Therapist 225100000X PT4493 FL

Addresses

Primary practice location

341 N. Maitland Avenue
Suite 200
Maitland, FL 32751-4761

Mailing address

341 N. Maitland Avenue
Suite 200
Maitland, FL 32751-4761
Phone (407) 265-2100

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
I20070922000068 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 6608810874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

341 N Maitland Ave
Suite 200
Maitland, FL 32751-4761
Phone (407) 647-8500

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 76859FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician
PT4493FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pedro T Oliveros Jr MD PA Physical Medicine & Rehabilitation CurrentSince Jun 27, 2007 Accepting new patients
Orlando Pain and Medical Rehabilitation Center Aso Physical Medicine & Rehabilitation Past Accepting new patients
Numed Care PA Physical Medicine & Rehabilitation PastSince Oct 26, 2007 Accepting new patients
Orlando Pain & Med Rehab Ctr Inc Physical Medicine & Rehabilitation PastSince Nov 1, 2004 Accepting new patients

Locations

341 N Maitland Ave
Ste 200
Maitland, FL 32751
Phone (407) 265-2100

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 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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1508966615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 N. MAITLAND AVENUE",
            "address_2": "SUITE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514761",
            "telephone_number": "407-265-2100",
            "fax_number": "407-265-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N. MAITLAND AVENUE",
            "address_2": "SUITE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514761",
            "telephone_number": "407-265-2100",
            "fax_number": "407-265-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEROS",
        "first_name": "PEDRO",
        "middle_name": "T.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME76859",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME 76859",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT4493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.