Individual provider Active NPI

Hector Octaviani, MD

  • Pediatrics Physician
  • Longwood, FL
National Provider Identifier
1912901497
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME47365 Issued in FL
Practice address
1577 Rebecca PL
Longwood, FL 32779-3070
Phone
(407) 308-8509
Fax
(407) 805-9757
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME0047365 FL
Pediatrics Physician 208000000X ME47365 FL Primary

Addresses

Primary practice location

1577 Rebecca PL
Longwood, FL 32779-3070

Mailing address

1577 Rebecca PL
Longwood, FL 32779-3070
Phone (407) 308-8509

Other identifiers 1

IdentifierTypeStateIssuer
041746700MedicaidFL

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
I20110119000081 FL Practitioner - Pediatric Medicine 7911196209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0047365FLMDPediatrics Physician
ME47365FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Family Health Center, Inc. Past Accepting new patients
Central Florida Family Health Center, Inc. Past Accepting new patients

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1912901497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 REBECCA PL",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793070",
            "telephone_number": "407-308-8509",
            "fax_number": "407-805-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 REBECCA PL",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793070",
            "telephone_number": "407-308-8509",
            "fax_number": "407-805-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCTAVIANI",
        "first_name": "HECTOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2025-04-21",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0047365",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME47365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041746700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.