Active NPI
Odalys Estefania Lara Garcia, MD
- Internal Medicine Physician
- Oxford, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29119
- Practice address
- 81 Ed Perry Blvd Ste 107
Oxford, MS 38655-3465 - Phone
- (662) 636-6290
- Fax
- (662) 636-1706
- NPI assigned
- Jul 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125073171 | IL | |
| Internal Medicine Physician | 207R00000X | 29119 | MS | Primary |
Addresses
Primary practice location
81 Ed Perry Blvd Ste 107
Oxford, MS 38655-3465
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Other practice location 1
701 N 1st St
Springfield, IL 62702-3757
Phone (217) 545-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 232-8100
255 Baptist Blvd
Columbus, MS 39705-2006
Hospital & facility affiliations
- Baptist Memorial Hospital North Ms
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.53 of 100
- Quality
- 69.43
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hospitalists of Ms, LLC | Current | Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Baptist Memorial Hospital North Mississippi, Inc | Past | Accepting new patients |
Locations
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000
81 Ed Perry Blvd
Ste 107
Oxford, MS 38655
Phone (662) 636-5290
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
Interoperability endpoints
- ogarcialara478812@direct.bmhcc.org
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Amory, MS
- NPI 1467856385
-
- Hospitalist Physician
- Clarksdale, MS
- NPI 1710371679
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1669958799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 315",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 ED PERRY BLVD STE 107",
"city": "OXFORD",
"state": "MS",
"postal_code": "386553465",
"telephone_number": "662-636-6290",
"fax_number": "662-636-1706"
}
],
"practiceLocations": [
{
"address_1": "701 N 1st St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627023757",
"country_code": "US",
"telephone_number": "217-545-8000",
"fax_number": "217-545-4735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARA GARCIA",
"first_name": "ODALYS",
"middle_name": "ESTEFANIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125073171",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "29119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.