Active NPI
Vanessa De Oliveira Inacio, M.D.
- Family Medicine Physician
- Coconut Creek, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME120396
- Practice address
- 4828 Coconut Creek Parkway
Coconut Creek, FL 33063 - Phone
- (954) 971-2266
- Fax
- (877) 319-1851
- NPI assigned
- Jun 24, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT200416 | PA | |
| Family Medicine Physician | 207Q00000X | ME120396 | FL | Primary |
Addresses
Primary practice location
4828 Coconut Creek Parkway
Coconut Creek, FL 33063
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14VJ8 | Other | FL | BLUE CROSS BLUE SHIELD |
| 012494700 | Medicaid | FL |
Other names 1
- Vanessa De Oliveira Inacio
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vanessa.de.oliveira.inacio.1@29601.direct.athenahealth.com | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12901 Bruce B Downs Blvd
MDC 62
Tampa, FL 33612-4742
6101 Blue Lagoon Dr
Suite 400
Miami, FL 33126
6101 Blue Lagoon Dr
Suite 400
Miami, FL 33126-2051
Hospital & facility affiliations
- Boca Raton Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME120396 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conviva Medical Center Management LLC | Family Medicine | Current | Accepting new patients |
Locations
4828 Coconut Creek Pkwy
Coconut Creek, FL 33063
Phone (954) 247-2168
1301 Lyons Rd
Coconut Creek, FL 33063
Phone (954) 971-2266
6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686
440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000
6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114
4960 SW 72nd Ave
Ste 406
Miami, FL 33155
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
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.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1790071066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263168",
"telephone_number": "305-500-2000",
"fax_number": "877-319-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4828 COCONUT CREEK PARKWAY",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "33063",
"telephone_number": "954-971-2266",
"fax_number": "877-319-1851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INACIO",
"first_name": "VANESSA",
"middle_name": "DE OLIVEIRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-24",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT200416",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME120396",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "14VJ8",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012494700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vanessa.de.oliveira.inacio.1@29601.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4828 Coconut Creek Parkway",
"city": "Coconut Creek",
"state": "FL",
"country_code": "US",
"postal_code": "33063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "VANESSA",
"last_name": "DE OLIVEIRA INACIO",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Coconut Creek, FL
- Manon Bourque Hutchison, DDS
- Ian Todd Johnson MD LLC
- Blanca Rosa Ibarra
- Idental of Coconut Creek, PLLC
- Img Helps Inc
- Independent Medical Group, LLC.
- Independent Medical Group, LLC.
- Patrice Lauretta Innis, BSW
- Inpsyght Psychological Services, LLC
- Institute for Womens Health Specialists of South Florida PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.