Individual provider Active NPI

Luciana Fonseca De Oliveira, MD

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1518125954
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD60279664 Issued in WA
Practice address
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone
(214) 942-5733
NPI assigned
May 31, 2008
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD60279664 WA Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X N2054 TX

Addresses

Primary practice location

1441 N Beckley Ave
Dallas, TX 75203-1201

Mailing address

1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 942-5733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20120524000475 WA Practitioner - Emergency Medicine 2668639253 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone (425) 394-0610

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60279664WAMDEmergency Medicine Physician
N2054TXMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Observation Associates PC CurrentSince Mar 14, 2018 Accepting new patients
Swedish Health Services CurrentSince Jun 1, 2023 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Jun 1, 2012 Accepting new patients
Swedish Health Services CurrentSince Jun 1, 2023 Accepting new patients
Eastside Emergency Physicians PLLC Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Swedish Health Services Current Accepting new patients
Eastside Emergency Physicians, PLLC Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients

Locations

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 455-3600

18100 NE Union Hill Rd
Fl 2
Redmond, WA 98052
Phone (425) 881-5437

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Organizations & group practices 7

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 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": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1518125954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-942-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-942-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE OLIVEIRA",
        "first_name": "LUCIANA",
        "middle_name": "FONSECA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-31",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60279664",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "N2054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.