Individual provider Active NPI

Oji Joseph, M.D.

  • Cardiovascular Disease Physician
  • Lake Wales, FL
National Provider Identifier
1720080096
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME78466 Issued in FL
Practice address
1136 Bryn Mawr Ave
Lake Wales, FL 33853
Phone
(863) 676-6296
Fax
(863) 676-6431
NPI assigned
Jun 1, 2005
Last updated
Oct 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME78466 FL Primary

Addresses

Primary practice location

1136 Bryn Mawr Ave
Lake Wales, FL 33853

Mailing address

PO Box 919349
Orlando, FL 32891
Phone (863) 676-6296

Other identifiers 1

IdentifierTypeStateIssuer
258698300MedicaidFL

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
I20060214000555 FL Practitioner - Cardiovascular Disease (Cardiology) 4789699687 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Vascular PLCGroup PAC ID 8729184379, 13 clinicians
Space Coast Cardiology ConsultantsGroup PAC ID 9537116645, 5 clinicians

Practice addresses (Care Compare)

1136 Bryn Mawr Ave
Lake Wales, FL 33853-4304
Phone (407) 929-7656

7139 N US Hwy 1
Port St John, FL 32927-5094
Phone (321) 635-8304

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.43 of 100Reported as group
Quality
100
Improvement activities
40
Cost
35.45

Merit-based Incentive Payment System (MIPS)

Final score
96.3 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)157

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Space Coast Cardiology Consultants Cardiovascular Disease CurrentSince Feb 1, 2025 Accepting new patients
Shreeven LLC CurrentSince Aug 3, 2021 Accepting new patients
Ankem Ravindra MD PA Cardiovascular Disease CurrentSince Dec 1, 2025 Accepting new patients
Marion Heart Associates, PA Cardiovascular Disease CurrentSince Dec 1, 2025 Accepting new patients
Heart & Vascular PLC Cardiovascular Disease CurrentSince Oct 25, 2004 Accepting new patients
Heartnvascular Cardiovascular Disease CurrentSince Jan 9, 2023 Accepting new patients
DRS. Raja & Raja, PA Past Accepting new patients
Lake Wales Clinic Corp Past Accepting new patients

Locations

101 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (352) 362-4223

405 Lionel Way
Davenport, FL 33837
Phone (407) 412-0111

141 Victoria Commons Blvd
Deland, FL 32724
Phone (386) 427-4544

1211 SW Bascom Norris Dr
Lake City, FL 32025
Phone (386) 326-3633

1136 Bryn Mawr Ave
Lake Wales, FL 33853
Phone (352) 362-4223

1609 SW 17th St
Ocala, FL 34471
Phone (352) 401-9888

1805 SE Lake Weir Ave
Ocala, FL 34471
Phone (352) 307-1616

7512 Dr Phillips Blvd
#50794
Orlando, FL 32819

7139 N US Highway 1
Port St John, FL 32927
Phone (321) 635-8304

1370 E Venice Ave
Ste 102
Venice, FL 34285

320 1st St N
Winter Haven, FL 33881
Phone (646) 295-5136

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27269/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: joseph.oji.001.0090011@ojmd.meditab.direct-ci.com
  • Direct secure messaging: joseph.oji.009.0090011@ojmd.meditab.direct-ci.com
  • Direct secure messaging: joseph.oji.010.0090011@ojmd.meditab.direct-ci.com
  • Direct secure messaging: joseph.oji.011.0090011@ojmd.meditab.direct-ci.com
  • Direct secure messaging: joseph.oji.012.0090011@ojmd.meditab.direct-ci.com
  • Direct secure messaging: joseph.oji.027.0090011@ojmd.meditab.direct-ci.com
  • Direct secure messaging: joseph.oji.029.0090011@ojmd.meditab.direct-ci.com

Organizations & group practices 8

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 5

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1720080096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919349",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32891",
            "telephone_number": "863-676-6296",
            "fax_number": "863-676-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 BRYN MAWR AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "33853",
            "telephone_number": "863-676-6296",
            "fax_number": "863-676-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "OJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME78466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258698300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

Verify at the official NPI Registry.