Rafael Oliver-Vidaud, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME54983 Issued in FL

Practice address

1445 NW Boca Raton Blvd
Aker Kasten Cataract & Laser Institute
Boca Raton, FL 33432-1610

Phone

(561) 338-7722

Fax

(561) 338-7785

NPI assigned

Apr 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St Lucie Anesthesia Associates LLC

  • Anesthesiology Physician
  • Boca Raton, FL
  • NPI 1700044252
  Medicare reassignment NPD
• Rafael Oliver-Vidaud

  • Anesthesiology Physician
  • Davie, FL
  • NPI 1871967307
  NPD (past) Authorized official
• St. Lucie Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Boca Raton, FL
  • NPI 1851252902
  NPD
• Edward John Noble Hospital of Gouverneur Ny

  • Rural Acute Care Hospital
  • Gouverneur, NY
  • NPI 1316940745
  NPD (past)
• Edward John Noble Hospital of Gouverneur Ny Swing Bed Unit

  • Medicare Defined Swing Bed Hospital Unit
  • Gouverneur, NY
  • NPI 1215031885
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1851355580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 SW 121ST AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301318",
            "telephone_number": "954-382-1782",
            "fax_number": "954-382-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 NW BOCA RATON BLVD",
            "address_2": "AKER KASTEN CATARACT & LASER INSTITUTE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321610",
            "telephone_number": "561-338-7722",
            "fax_number": "561-338-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER-VIDAUD",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME54983",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA04181000",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "159571 1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042127800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Olivas, LMT
• Ileana Rodriguez Olive
• Juliana Oliveira Vassalo, PT
• Priscila Oliveira, LMT
• Melissa Elizabeth Oliver Miles
• Lawrence H Oliver, MD
• Daniela Olivera-Parente, NP
• Maria Christina Oliveros, LCSW
• Charles Olson, MD
• Donald Olson, RPH

• Anesthesiology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.

Verify at the official NPI Registry.