OSMANY LAZARO RODRIGUEZ HERRADA (MD) – General Practice Physician, NPI 1063131605
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,467 GENERAL PRACTICE in FL
Provider Addresses for OSMANY LAZARO RODRIGUEZ HERRADA (MD)
819 N Central Ave Ste A
Kissimmee, FL 347415027
Phone: (407) 288-8242
Fax: (407) 490-1309
Type: Location
404 AVE GENERAL VALERO
FAJARDO, PR 007383998
Phone:
Type: Mailing
PO BOX 4189
DEERFIELD BEACH, FL 334424189
Phone: (954) 363-9582
Fax: (954) 363-9663
Type: Mailing
2548 SIMPSON RD
KISSIMMEE, FL 347444637
Phone: (407) 632-4201
Fax: (407) 632-4206
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-11-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231103002669 | I | General Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34741)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| General Practice | FL | |
| Internal Medicine | RI | |
| General Practice | FL | |
| General Practice | FL | |
| General Practice, Internal Medicine | FL | |
| Internal Medicine, Dermatology, Endocrinology, Family Practice, Cardiovascular Disease (Cardiology) | FL | |
| Internal Medicine | FL | |
| General Practice | FL |
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