Individual provider Active NPI

Lidia Flores Oliveira, DO

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Lake Mary, FL
National Provider Identifier
1912007485
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
OS6402 Issued in FL
Practice address
917 Rinehart Rd
Lake Mary, FL 32746-4802
Phone
(407) 248-9003
Fax
(407) 248-0445
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS6402 FL
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X OS6402 FL Primary

Addresses

Primary practice location

917 Rinehart Rd
Lake Mary, FL 32746-4802

Mailing address

PO Box 22795
Orlando, FL 32830-2795
Phone (407) 248-9003

Other identifiers 1

IdentifierTypeStateIssuer
371401201MedicaidFL

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
I20120625000362 FL Practitioner - Family PracticePractitioner - Hospice/Palliative Care 4981682846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6735 Conroy Rd
Suite 331
Orlando, FL 32835-3568
Phone (407) 248-9003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lidia Oliveira, D.O., P.a. Family Medicine CurrentSince Mar 12, 2000 Accepting new patients
Gessler Clinic Professional Association Family Medicine PastSince Mar 22, 2017 Accepting new patients

Locations

6735 Conroy Rd
Ste 331
Orlando, FL 32835
Phone (407) 248-9003

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1912007485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22795",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328302795",
            "telephone_number": "407-248-9003",
            "fax_number": "407-248-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 RINEHART RD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464802",
            "telephone_number": "407-248-9003",
            "fax_number": "407-248-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEIRA",
        "first_name": "LIDIA",
        "middle_name": "FLORES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6402",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "OS6402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371401201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.