Individual provider Active NPI

Luis Angel Vargas-Massari, MD

  • General Practice Physician
  • St. Cloud, FL
National Provider Identifier
1083070627
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1420 Issued in FL
Practice address
3108 17TH Street
Units a-C
St. Cloud, FL 34769-6021
Phone
(407) 986-9642
Fax
(833) 450-5421
NPI assigned
Jan 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19948 PR
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ACN1420 FL Primary

Addresses

Primary practice location

3108 17TH Street
Units a-C
St. Cloud, FL 34769-6021

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 332-6947

Other practice location 1

1931 S Narcoossee Rd
Saint Cloud, FL 34771-7211
Phone (407) 986-9642

Other identifiers 1

IdentifierTypeStateIssuer
114598100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190405001923 PR Practitioner - General Practice 1759622459 Reassigns benefits to 2 organizations
I20220527001304 FL Practitioner - General Practice 1759622459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Family Physicians LLCGroup PAC ID 0749226439, 86 clinicians

Practice addresses (Care Compare)

1931 S Narcoossee Rd
Saint Cloud, FL 34771-7211
Phone (407) 986-9642

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Family Physicians, LLC Single Specialty CurrentSince May 9, 2022 Accepting new patients
Clinica Yaguez, Inc Single Specialty CurrentSince Jun 22, 2018 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Feb 28, 2019 Accepting new patients
Migrant Health Center Western Region,Inc Single Specialty CurrentSince Feb 28, 2019 Accepting new patients
Clinica Yaguez, Inc. Single Specialty CurrentSince Jun 22, 2018 Accepting new patients
Idelis Fedeslinda Arias de la Torre General Practice PastSince Jun 1, 2021 Accepting new patients
Orlando Family Physicians, LLC General Practice PastSince Jan 5, 2025 Accepting new patients

Locations

21 S Charles Richard Beall Blvd
Debary, FL 32713
Phone (386) 516-0930

1130 S Semoran Blvd
Orlando, FL 32807
Phone (407) 382-1376

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

811 N Nowell St
Orlando, FL 32808
Phone (407) 259-2383

6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947

1931 S Narcoossee Rd
Saint Cloud, FL 34771
Phone (407) 891-0045

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: luis.vargas.massari.1@27472.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1083070627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 17TH STREET",
            "address_2": "UNITS A-C",
            "city": "ST. CLOUD",
            "state": "FL",
            "postal_code": "347696021",
            "telephone_number": "407-986-9642",
            "fax_number": "833-450-5421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1931 S Narcoossee Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347717211",
            "country_code": "US",
            "telephone_number": "407-986-9642",
            "fax_number": "407-593-6102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS-MASSARI",
        "first_name": "LUIS",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-12",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19948",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114598100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Cloud, FL

Sources for this page

Verify at the official NPI Registry.