Individual provider Active NPI

Roger D Moccia, MD

  • Vascular Surgery Physician
  • Orlando, FL
National Provider Identifier
1104041342
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME120656 Issued in FL
Practice address
1222 S Orange Ave FL 3
Orlando, FL 32806-1215
Phone
(407) 539-2100
Fax
(321) 842-1569
NPI assigned
Apr 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME120656 FL Primary

Addresses

Primary practice location

1222 S Orange Ave FL 3
Orlando, FL 32806-1215

Mailing address

1222 S Orange Ave FL 3
Orlando, FL 32806-1215
Phone (407) 539-2100

Other practice location 1

1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 549-0815

Other practice location 2

2080 Oakley Seaver Dr Ste 110
Clermont, FL 34711-1962
Phone (321) 844-6444

Other practice location 3

1920 Don Wickham Dr Ste 335
Clermont, FL 34711-1978
Phone (321) 841-6444

Other identifiers 2

IdentifierTypeStateIssuer
014565100MedicaidFL
HY966ZOtherFLMEDICARE HF

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141111001190 FL Practitioner - Vascular Surgery 8224136098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1222 S Orange Ave
Orlando, FL 32806-1215
Phone (407) 650-1300

1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as apm
Quality
86.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Dec 1, 2014 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
Health First Medical Group, LLC Diagnostic Radiology CurrentSince Dec 1, 2014 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
Upstate Radiology Associates Diagnostic Radiology Past Accepting new patients
St Francis Physician Services Inc Past Accepting new patients
Upstate Carolina Radiology PA Diagnostic Radiology PastSince Apr 3, 2022 Accepting new patients

Locations

1920 Don Wickham Dr
Clermont, FL 34711
Phone (352) 243-5891

1920 Don Wickham Dr
Ste 335
Clermont, FL 34711
Phone (352) 389-0605

2080 Oakley Seaver Dr
Ste 110
Clermont, FL 34711
Phone (321) 844-6444

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677

1223 Gateway Dr
Ste 2C
Melbourne, FL 32901
Phone (321) 549-0815

1222 S Orange Ave
Fl 3
Orlando, FL 32806
Phone (321) 841-3356

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rmoccia28090@epicdirect.hf.org

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 6

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": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1104041342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE FL 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "407-539-2100",
            "fax_number": "321-842-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE FL 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "407-539-2100",
            "fax_number": "321-842-1569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-549-0815",
            "fax_number": "321-768-0039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2080 Oakley Seaver Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111962",
            "country_code": "US",
            "telephone_number": "321-844-6444",
            "fax_number": "407-290-2118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 Don Wickham Dr Ste 335",
            "address_purpose": "LOCATION",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111978",
            "country_code": "US",
            "telephone_number": "321-841-6444",
            "fax_number": "407-650-1307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCCIA",
        "first_name": "ROGER",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME120656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014565100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "HY966Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.