DR. CLARYLEE OCTAVIANI (MD) – Nephrology Physician, NPI 1144249624

DR. CLARYLEE OCTAVIANI (MD) is a healthcare provider. based in Longwood, Florida. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. ME128543 (FL). The NPI Number for DR. CLARYLEE OCTAVIANI (MD) is 1144249624

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLARYLEE OCTAVIANI (MD)
NPI
1144249624
Phone
(407) 515-2211
Address
2180 W SR 434 STE 1164
Enumeration Date
18 July 2006
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Secondary Phone
4078944693
Graduation Year
2001 (25 years ago)
PAC ID
8527061076
Group Practice PAC ID
2567359375
Professional Enrollment ID
I20170222000891
Address ID
FL328044674OR2501XAVEX407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

796 NEPHROLOGY in FL

Provider Addresses for DR. CLARYLEE OCTAVIANI (MD)

  • 2180 W SR 434 STE 1164

    LONGWOOD, FL 327795008

    Phone: (407) 515-2211

    Fax: (407) 309-5412

    Type: Mailing

  • 766 N SUN DR STE 3030

    LAKE MARY, FL 327462555

    Phone: (407) 444-2800

    Fax: (407) 444-2810

    Type: Location

  • A Cut Above Photo Booth;Doug Oliver Development, 121, South Orange Avenue, Orlando, Orange County, Florida, 32801, United States

    STE 940

    ORLANDO, FL 328013221

    Phone: (407) 658-9687

    Fax: (407) 658-9688

    Type: Mailing

  • Buenaventura Boulevard, Buenaventura Lakes, Kissimmee, Osceola County, Florida, 34743, United States

    ORLANDO FAMILY PHYSICIANS

    KISSIMMEE, FL 347430000

    Phone: (407) 344-9959

    Fax: (407) 344-9971

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 89 Open Payments records for all available years, with a total value of $2,146.

Total Amount is formed as General ($2,146) + Research ($0) + Ownership ($0) = $2,146.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($392).

Total Amount

$2,146

General + Research + Ownership

Payments

89

Total payment records

General Amount

$2,146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060823000098INephrologyPRTBD
I20170222000891INephrologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8834$0
View full utilization report →

Insurance plans in this area (ZIP 32779)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567359375View full group profile
NameSpecialtyState
N E P H R O L O G YFL
Nurse PractitionerFL
-FL
Internal MedicineFL
N E P H R O L O G YFL
N E P H R O L O G YFL
Physician AssistantFL
Nurse PractitionerFL
N E P H R O L O G YFL
Internal Medicine, NephrologyFL

Reviews

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Frequently asked questions

What federal number belongs to DR. CLARYLEE OCTAVIANI (MD)?
The federal identifier for DR. CLARYLEE OCTAVIANI (MD) is NPI 1144249624.
Is DR. CLARYLEE OCTAVIANI (MD) currently active in the NPI registry?
CMS-published data lists DR. CLARYLEE OCTAVIANI (MD) as an active registrant.
Can you summarize DR. CLARYLEE OCTAVIANI (MD)'s specialty in plain language?
Clinically, the directory lists DR. CLARYLEE OCTAVIANI (MD) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. CLARYLEE OCTAVIANI (MD)?
We surface Longwood, Florida for DR. CLARYLEE OCTAVIANI (MD) based on available NPPES addresses.
What if Longwood, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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