Individual provider Active NPI

Inelisse Otero-Diaz, M.D.

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1952735862
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME128511 Issued in FL
Practice address
1475 W 49TH PL
Hialeah, FL 33012-3113
Phone
(305) 558-2500
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME128511 FL Primary

Addresses

Primary practice location

1475 W 49TH PL
Hialeah, FL 33012-3113

Mailing address

2751 NW 70TH Blvd
Boca Raton, FL 33496-3529
Phone (787) 633-5616

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-3113
Phone (352) 265-5911

Other practice location 2

3663 S Miami Ave
Miami, FL 33133-4237
Phone (305) 854-4400

Other practice location 3

300 Executive Center Dr
West Palm Beach, FL 33401-4842
Phone (561) 471-5566

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
I20161114000564 FL Practitioner - Internal MedicinePractitioner - Hospitalist 1557640661 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Ponce School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Clinical Practice Association IncGroup PAC ID 0345146254, 1,886 clinicians
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

1800 SE Tiffany Ave
St. Lucie Medical Center
Port Saint Lucie, FL 34952-7521
Phone (772) 335-4000

2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7000

340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000

3663 S Miami Ave
Mercy Hospital
Miami, FL 33133-4253
Phone (305) 854-4400

Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161

Hospital & facility affiliations

  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113
  • HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167
  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince May 20, 2020 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Sep 26, 2016 Accepting new patients
Premier Inpatient Partners LLC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Florida Clinical Practice Association Inc Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Sep 26, 2016 Accepting new patients
Collins Physician Services, LLC Internal Medicine CurrentSince Jun 10, 2022 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Apogee Medical Group, Florida Inc CurrentSince Feb 25, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jun 1, 2024 Accepting new patients
Tenet Florida Physician Services LLC Internal Medicine Current Accepting new patients
Pensacola Hospitalist Physicians, LLC CurrentSince Jan 25, 2023 Accepting new patients
Pensacola Hospitalist Physicians, LLC CurrentSince Jan 25, 2023 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000

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

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

3100 E Fletcher Ave
#C
Tampa, FL 33613

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ioterodiaz708743@direct.shands.ufl.edu
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 11

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": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1952735862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 NW 70TH BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334963529",
            "telephone_number": "787-633-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 W 49TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123113",
            "telephone_number": "305-558-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103113",
            "country_code": "US",
            "telephone_number": "352-265-5911",
            "fax_number": "352-265-5606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3663 S Miami Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334237",
            "country_code": "US",
            "telephone_number": "305-854-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Executive Center Dr",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334014842",
            "country_code": "US",
            "telephone_number": "561-471-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTERO-DIAZ",
        "first_name": "INELISSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME128511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.