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LILIAN ASTRID OTALORA ROJAS MD
NPI 1093218802
Internal Medicine - Rheumatology in Jacksonville, FL

Active since March 18, 2018PECOS EnrolledAccepts Medicare Assignment
13241 BARTRAM PARK BLVD UNIT 2105, JACKSONVILLE, FL 32258(904) 292-4111(904) 292-4080 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2023, Mar 18, 2018 (2 updates tracked since 2018).

About Lilian Astrid Otalora Rojas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILIAN ASTRID OTALORA ROJAS MD (NPI 1093218802) is an individual rheumatology provider in Jacksonville, Florida, licensed in Florida (ME160963) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1093218802
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameLILIAN ASTRID OTALORA ROJASCredential: MD
Location Address13241 BARTRAM PARK BLVD UNIT 2105Jacksonville, FL 32258-5224
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 292-4111
Fax(904) 292-4080
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 18, 2018
Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1093218802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · ME160963
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
13241 BARTRAM PARK BLVD UNIT 2105, Jacksonville, FL 32258
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lilian Astrid Otalora Rojas Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628431749
PECOS Enrollment IDI20230822003986
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Lilian Otalora Rojas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Primary Care Inc
0.1 mi
Rheumatology
13241 BARTRAM PARK BLVD UNIT 2105
Jacksonville, FL 32258
  • Reassigned Medicare billing, Florida enrollment
  • 569 clinicians in this Medicare group
NPI 1629410881 (904) 292-4111
Rheumatology Wellness Center PLLC
19 mi
Rheumatology
3149 N PONCE DE LEON BLVD STE 1
St Augustine, FL 32084
  • Reassigned Medicare billing, Florida enrollment
NPI 1518700889 (904) 594-2424
Omni Healthcare, Inc.
151 mi
Specialist
1344 S APOLLO BLVD STE 406
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 92 clinicians in this Medicare group
NPI 1134191323 (321) 727-2990

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
351 services201 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYINT M THWAY MD
Internal Medicine (Rheumatology)
13241 BARTRAM PARK BLVD UNIT 2105
JACKSONVILLE, FL 32258
Duval County (904) 292-4111
DR. KATHRYN MICHELE LAWSON DO
Internal Medicine (Rheumatology)
13241 BARTRAM PARK BLVD UNIT 2105
JACKSONVILLE, FL 32258
Duval County (904) 292-4111
BAPTIST PRIMARY CARE INC
Internal Medicine (Rheumatology)
13241 BARTRAM PARK BLVD UNIT 2105
JACKSONVILLE, FL 32258
Duval County (904) 292-4111
KARISHMA P RAMSUBEIK MD
Internal Medicine (Rheumatology)
13241 BARTRAM PARK BLVD UNIT 2105
JACKSONVILLE, FL 32258
Duval County (904) 292-4111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lilian Otalora Rojas's NPI number?

The NPI number for Lilian Otalora Rojas is 1093218802. It was assigned to this individual provider in the NPPES registry on March 18, 2018.

Where is Lilian Otalora Rojas located?

Lilian Otalora Rojas practices at 13241 Bartram Park Blvd Unit 2105, Jacksonville, FL 32258. The listed phone number is (904) 292-4111.

What is Lilian Otalora Rojas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Lilian Otalora Rojas enrolled in Medicare?

Yes. Lilian Otalora Rojas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lilian Otalora Rojas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lilian Otalora Rojas reassigns Medicare benefits to 3 organizations: Baptist Primary Care Inc (Jacksonville, FL), Rheumatology Wellness Center PLLC (St Augustine, FL) and Omni Healthcare, Inc. (Melbourne, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lilian Otalora Rojas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lilian Otalora Rojas accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Health Care Plans list Lilian Otalora Rojas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lilian Otalora Rojas affiliated with any hospitals?

According to CMS data, Lilian Otalora Rojas is affiliated with Baptist Health Medical Center - Jacksonville, Flagler Hospital, Baptist Medical Center Beaches, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Lilian Otalora Rojas was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.