Individual provider Active NPI

Oscar F Tercilla, M.D.

  • Radiation Oncology Physician
  • Doral, FL
National Provider Identifier
1619965829
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME0074435 Issued in FL
Practice address
8881 NW 18TH Ter
Doral, FL 33172-2624
Phone
(305) 704-3910
Fax
(305) 704-3916
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME0074435 FL Primary

Addresses

Primary practice location

8881 NW 18TH Ter
Doral, FL 33172-2624

Mailing address

8881 NW 18TH Ter
Doral, FL 33172-2624
Phone (305) 704-3910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0074435FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Radiation Care LLC Radiation Oncology PastSince Jul 1, 2007 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1619965829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 NW 18TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722624",
            "telephone_number": "305-704-3910",
            "fax_number": "305-704-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 NW 18TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722624",
            "telephone_number": "305-704-3910",
            "fax_number": "305-704-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERCILLA",
        "first_name": "OSCAR",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME0074435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.