Individual provider Active NPI

Timothy O'Leary, MD

  • Maternal & Fetal Medicine Physician
  • Orlando, FL
National Provider Identifier
1669442893
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME54982 Issued in FL
Practice address
207 W Gore St
Orlando, FL 32806-1008
Phone
(321) 841-8555
Fax
(321) 841-2425
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME54982 FL
Maternal & Fetal Medicine Physician 207VM0101X ME54982 FL Primary

Addresses

Primary practice location

207 W Gore St
Orlando, FL 32806-1008

Mailing address

207 W Gore St Ste 300
Orlando, FL 32806-1014
Phone (321) 841-8555

Other identifiers 2

IdentifierTypeStateIssuer
036847400MedicaidFL
ME54982OtherFLMEDICAL LICENSE

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
I20050201000331 FL Practitioner - Obstetrics/Gynecology 0042261638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Columbia School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

83 W Miller St
Orlando, FL 32806-2031
Phone (321) 841-8555

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME54982FLMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 30, 2010 Accepting new patients
Orlando Health Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 30, 2010 Accepting new patients
Orlando Health, Inc. Past Accepting new patients

Locations

1001 E Osceola Pkwy
Kissimmee, FL 34744
Phone (321) 842-1270

89 W Copeland Dr
Orlando, FL 32806
Phone (407) 237-6333

207 W Gore St
Orlando, FL 32806
Phone (321) 841-1050

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

207 W Gore St
Ste 300
Orlando, FL 32806
Phone (321) 841-1050

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

7243 Della Dr
Ste D
Orlando, FL 32819

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: toleary26614@orlandohealth.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1669442893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W GORE ST STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061014",
            "telephone_number": "321-841-8555",
            "fax_number": "321-841-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W GORE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061008",
            "telephone_number": "321-841-8555",
            "fax_number": "321-841-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME54982",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME54982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036847400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME54982",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.