Active NPI
Andres Cordoba, MD
- Adult Medicine Physician
- Sebring, FL
National Provider Identifier
1720176431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- ME91882
- Practice address
- 2530 Island Dr
Sebring, FL 33872-7627 - Phone
- (863) 382-9265
- Fax
- (863) 382-0184
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | ME91882 | FL | Primary |
Addresses
Primary practice location
2530 Island Dr
Sebring, FL 33872-7627
Mailing address
2530 Island Dr
Sebring, FL 33872-7627
Phone (863) 382-9265
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121017000194 | FL | Practitioner - Internal Medicine | 0042269706 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fabio Oliveros and Associates PA
Practice addresses (Care Compare)
130 Medical Ctr Ave
Sebring, FL 33870-5463
Phone (863) 385-2606
Hospital & facility affiliations
- Vitas Healthcare Corporation of Florida
- Adventhealth Sebring
- HCA Florida Highlands Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fabio Oliveros & Associates PA | Current | Accepting new patients |
Locations
130 Medical Center Ave
Sebring, FL 33870
Phone (863) 385-2606
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60407
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.
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
Hospice
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
Hospice
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
Hospice
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1720176431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 ISLAND DR",
"city": "SEBRING",
"state": "FL",
"postal_code": "338727627",
"telephone_number": "863-382-9265",
"fax_number": "863-382-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 ISLAND DR",
"city": "SEBRING",
"state": "FL",
"postal_code": "338727627",
"telephone_number": "863-382-9265",
"fax_number": "863-382-0184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOBA",
"first_name": "ANDRES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "ME91882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.