Individual provider Active NPI

Luiz Otavio Pita de Oliveira, MD

  • Medical Oncology Physician
  • Hickory, NC
National Provider Identifier
1699986190
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
2021-01297 Issued in NC
Practice address
2406 Century PL SE
Hickory, NC 28602-4031
Phone
(828) 324-9550
Fax
(828) 324-4154
NPI assigned
May 25, 2007
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD492689 PA
Medical Oncology Physician 207RX0202X 2021-01297 NC Primary

Addresses

Primary practice location

2406 Century PL SE
Hickory, NC 28602-4031

Mailing address

PO Box 3710
Hickory, NC 28603-3710
Phone (704) 342-9577

Other practice location 1

2711 Randolph Rd Ste 400
Charlotte, NC 28207-2027
Phone (704) 342-9577

Other practice location 2

10635 Park Rd Ste F
Charlotte, NC 28210-8408
Phone (704) 342-9577

Other practice location 3

100 N Academy Ave
danville, PA 17822-9800
Phone (570) 271-6045

Other identifiers 1

IdentifierTypeStateIssuer
100395800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210520001501 NC Practitioner - Medical Oncology 2961699301 Reassigns benefits to 6 organizations
I20251124002801 PA Practitioner - Hematology/Oncology 2961699301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, shared by 7 NPIs, 3,432 clinicians
Watauga Medical Center IncGroup PAC ID 2668377474, shared by 7 NPIs, 95 clinicians
Carolina Oncology Specialist PAGroup PAC ID 5193720498, 17 clinicians

Practice addresses (Care Compare)

Gastonia, NC 28054
Phone (570) 271-6144

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

1200 State Farm Rd
Boone, NC 28607-4994
Phone (828) 262-4332

2711 Randolph Rd
Suite 400
Charlotte, NC 28207-2027
Phone (704) 342-9577

338 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4133

400 Highland Ave
Lewistown, PA 17044-1167
Phone (717) 363-9071

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD492689PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC CurrentSince Jan 13, 2026 Accepting new patients
Caromont Medical Group Inc CurrentSince May 24, 2021 Accepting new patients
Watauga Medical Center Inc CurrentSince May 6, 2025 Accepting new patients
Carolina Oncology Specialist PA Hematology & Oncology CurrentSince Jan 1, 2026 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Carolina Oncology Specialist PA Hematology & Oncology CurrentSince Jan 1, 2026 Accepting new patients
Watauga Medical Center, Inc. Current Accepting new patients
Geisinger Clinic CurrentSince Dec 22, 2025 Accepting new patients
Geisinger Clinic CurrentSince Dec 22, 2025 Accepting new patients
Watauga Medical Center Inc Hematology & Oncology CurrentSince May 6, 2025 Accepting new patients
Caromont Medical Group Inc CurrentSince May 24, 2021 Accepting new patients
Watauga Medical Center Inc Hematology & Oncology CurrentSince May 6, 2025 Accepting new patients
Geisinger Clinic Past Accepting new patients
Western Maine Multi-Medical Specialists Past Accepting new patients
Norumbega Medical Specialists, LTD Past Accepting new patients

Locations

1200 State Farm Rd
Boone, NC 28607
Phone (828) 262-4332

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

338 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

10635 Park Rd
Ste F
Charlotte, NC 28210
Phone (704) 342-1900

2711 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 342-1900

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

2711 X Ray Dr
Ste 3701
Gastonia, NC 28054
Phone (980) 384-9600

2406 Century Pl SE
Hickory, NC 28602
Phone (828) 324-9550

100 N Academy Ave
Danville, PA 17822

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1699986190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3710",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286033710",
            "telephone_number": "704-342-9577",
            "fax_number": "704-377-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 CENTURY PL SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024031",
            "telephone_number": "828-324-9550",
            "fax_number": "828-324-4154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2711 Randolph Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282072027",
            "country_code": "US",
            "telephone_number": "704-342-9577",
            "fax_number": "704-377-0353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10635 Park Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108408",
            "country_code": "US",
            "telephone_number": "704-342-9577",
            "fax_number": "704-377-0353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N ACADEMY AVE",
            "address_purpose": "LOCATION",
            "city": "danville",
            "state": "PA",
            "postal_code": "178229800",
            "country_code": "US",
            "telephone_number": "570-271-6045",
            "fax_number": "570-271-6542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITA DE OLIVEIRA",
        "first_name": "LUIZ",
        "middle_name": "OTAVIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD492689",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "2021-01297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100395800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.