Individual provider Active NPI

Fernando A Lopez Osma, M.D.

  • Nephrology Physician
  • Gainesville, FL
National Provider Identifier
1821301144
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME140234 Issued in FL
Practice address
2216 NW 40TH Ter
Gainesville, FL 32605-3573
Phone
(352) 888-7500
Fax
(352) 372-1364
NPI assigned
Jul 15, 2010
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD20565 ME
Nephrology Physician 207RN0300X ME140234 FL Primary
Nephrology Physician 207RN0300X MD20565 ME

Addresses

Primary practice location

2216 NW 40TH Ter
Gainesville, FL 32605-3573

Mailing address

1840 E Ray Rd
Chandler, AZ 85225-8720
Phone (855) 397-0197

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
I20190703000232 FL Practitioner - Nephrology 8628202306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of North Central Florida P aGroup PAC ID 9537134887, 10 clinicians

Practice addresses (Care Compare)

4423 NW 6TH PL
Suite a
Gainesville, FL 32607-6116
Phone (352) 377-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of North Central Florida P a Nephrology CurrentSince Jan 11, 2021 Accepting new patients

Locations

4423 NW 6th Pl
Ste A
Gainesville, FL 32607
Phone (352) 213-1250

215 SW Prosperity Pl
Ste 110
Lake City, FL 32024
Phone (386) 754-1716

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

Interoperability endpoints

  • Direct secure messaging: flopezosma29805@direct.acumenmd.com

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, 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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1821301144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 E RAY RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258720",
            "telephone_number": "855-397-0197",
            "fax_number": "800-272-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 NW 40TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053573",
            "telephone_number": "352-888-7500",
            "fax_number": "352-372-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ OSMA",
        "first_name": "FERNANDO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD20565",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME140234",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ME",
            "license": "MD20565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.