Individual provider Active NPI

Vera Marie Rosado-Odom, MD

  • Infectious Disease Physician
  • Clermont, FL
National Provider Identifier
1811219256
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME124177 Issued in FL
Practice address
1920 Don Wickham Dr Ste 115
Clermont, FL 34711-1977
Phone
(407) 423-1039
Fax
(407) 425-2347
NPI assigned
Feb 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME124177 FL Primary

Addresses

Primary practice location

1920 Don Wickham Dr Ste 115
Clermont, FL 34711-1977

Mailing address

1920 Don Wickham Dr Ste 115
Clermont, FL 34711-1977
Phone (407) 423-1039

Other identifiers 1

IdentifierTypeStateIssuer
015860300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vrosadoodom175377@Direct.leememorial.org Lee Memorial Health System

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
I20150817000985 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 3870743305 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1920 Don Wickham Dr
Clermont, FL 34711-1918
Phone (407) 351-5384

Hospital & facility affiliations

  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030
  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc CurrentSince Sep 30, 2015 Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Sep 30, 2015 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jun 1, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jun 1, 2021 Accepting new patients
Major Hospital Past Accepting new patients
Hospitalists of Ocala, LLC Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

1920 Don Wickham Dr
Ste 335
Clermont, FL 34711
Phone (352) 389-0605

1920 Don Wickham Dr
Clermont, FL 34711
Phone (352) 243-5891

1920 Don Wickham Dr
Ste 115
Clermont, FL 34711
Phone (352) 323-9530

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

12450 Roosevelt Blvd N
Ste 308
St Petersburg, FL 33716
Phone (727) 572-0900

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: vrosadoodom175377@direct.leememorial.org

Organizations & group practices 9

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 7

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": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1811219256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 DON WICKHAM DR STE 115",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111977",
            "telephone_number": "407-423-1039",
            "fax_number": "407-425-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 DON WICKHAM DR STE 115",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111977",
            "telephone_number": "407-423-1039",
            "fax_number": "407-425-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO-ODOM",
        "first_name": "VERA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME124177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015860300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vrosadoodom175377@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "Lee Memorial Health System",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.