Active NPI
Raul Olivera, M.D.
- Neurological Surgery Physician
- Wesley Chapel, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME110197
- Practice address
- 2590 Healing Way Ste 210
Wesley Chapel, FL 33543-5497 - Phone
- (813) 782-5801
- NPI assigned
- Feb 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ME110197 | FL | Primary |
Addresses
Primary practice location
2590 Healing Way Ste 210
Wesley Chapel, FL 33543-5497
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Other practice location 1
2 Tampa General Cir
7th floor
Tampa, FL 33606-3603
Phone (813) 259-0830
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004274900 | Medicaid | FL | |
| 14FX2 | Other | FL | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rolivera48933@direct.tgh.org |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111213000701 | FL | Practitioner - Neurosurgery | 0143495507 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Hospital Physician Group Inc
Practice addresses (Care Compare)
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7075
Hospital & facility affiliations
- Adventhealth Tampa
- Adventhealth Wesley Chapel
- Adventhealth North Pinellas
- AdventHealth Carrollwood
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 24 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Neurological Surgery | Current | Accepting new patients |
| Florida Hospital Physician Group Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients |
Locations
3000 Medical Park Dr
Ste 340
Tampa, FL 33613
Phone (813) 467-4290
12901 Bruce B Downs Blvd
#19
Tampa, FL 33612
Phone (813) 844-4103
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2 Tampa General Cir
Fl 7
Tampa, FL 33606
Phone (813) 259-0904
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
2 Tampa General Cir
Fl 3
Tampa, FL 33606
Phone (813) 259-0600
2590 Healing Way
Ste 210
Wesley Chapel, FL 33543
Phone (813) 467-4285
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
38240 Daughtery Rd
Zephyrhills, FL 33540
Phone (813) 788-3582
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- rolivera619653@adventhealth.direct-ci.com
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
Neurological Surgery
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
Hospital
-
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1982872057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2590 HEALING WAY STE 210",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335435497",
"telephone_number": "813-782-5801"
}
],
"practiceLocations": [
{
"address_1": "2 Tampa General Cir",
"address_2": "7th floor",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063603",
"country_code": "US",
"telephone_number": "813-259-0830",
"fax_number": "813-259-0859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVERA",
"first_name": "RAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-12",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME110197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004274900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "14FX2",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rolivera48933@direct.tgh.org",
"affiliation": "N",
"address_1": "2 Tampa General Cir",
"address_2": "7th floor",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.