Individual provider Active NPI

Virginia Pagani, M.D.

  • Obstetrics & Gynecology Physician
  • Lakeland, FL
National Provider Identifier
1134449556
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME119488 Issued in FL
Practice address
10340 Old Dade City Rd
Lakeland, FL 33810-8048
Phone
(787) 426-1837
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME119488 FL Primary

Addresses

Primary practice location

10340 Old Dade City Rd
Lakeland, FL 33810-8048

Mailing address

10340 Old Dade City Rd
Lakeland, FL 33810-8048
Phone (787) 426-1837

Other practice location 1

1324 Lakeland Hills Blvd
Lakeland, FL 33805-3400
Phone (863) 687-1321

Other practice location 2

3030 Harden Blvd.
Lakeland, FL 33803-3400
Phone (863) 284-6860

Other identifiers 1

IdentifierTypeStateIssuer
012328900MedicaidFL

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
I20140731000372 FL Practitioner - Obstetrics/Gynecology 6406092154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ponce School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Health Specialists of Central Florida PLGroup PAC ID 9739359878, 3 clinicians

Practice addresses (Care Compare)

3131 Innovation Dr
Saint Cloud, FL 34769-6501
Phone (407) 498-0071

Hospital & facility affiliations

  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME119488FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Health Specialists of Central Florida PL CurrentSince Jan 1, 2020 Accepting new patients
Central Florida Vascular Center, PA Past Accepting new patients

Locations

200 N John Young Pkwy
Ste 103
Kissimmee, FL 34741
Phone (407) 498-0071

9486 Narcoossee Rd
Orlando, FL 32827
Phone (407) 476-9066

6735 Conroy Rd
Ste 205
Orlando, FL 32835
Phone (407) 498-0071

3131 Innovation Dr
Saint Cloud, FL 34769
Phone (407) 498-0071

3131 Innovation Dr
Ste A
Saint Cloud, FL 34769

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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 1

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": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1134449556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10340 OLD DADE CITY RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338108048",
            "telephone_number": "787-426-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10340 OLD DADE CITY RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338108048",
            "telephone_number": "787-426-1837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1324 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338053400",
            "country_code": "US",
            "telephone_number": "863-687-1321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Harden Blvd.",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338033400",
            "country_code": "US",
            "telephone_number": "863-284-6860",
            "fax_number": "863-284-7959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGANI",
        "first_name": "VIRGINIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME119488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012328900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.