Active NPI
Vrej K Manoogian, D.O.
- Orthopaedic Surgery Physician
- Mount Dora, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- OS7528
- Practice address
- 1945 Bay Rd
Mount Dora, FL 32757-2105 - Phone
- (352) 483-5633
- Fax
- (352) 483-5070
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | OS7528 | FL | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | OS7528 | FL |
Addresses
Primary practice location
1945 Bay Rd
Mount Dora, FL 32757-2105
Mailing address
1945 Bay Rd
Mount Dora, FL 32757-2105
Phone (352) 483-5633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD9204 | Other | FL | RAILROAD MEDICARE GROUP |
| 46883 | Other | FL | BLUE CROSS BLUE SHIELD FL |
| 200041567 | Other | FL | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1945 Bay Rd
Mount Dora, FL 32757-2105
Phone (352) 483-5633
Hospital & facility affiliations
- Lake Centre Home Care, LLC
- Uf Health Leesburg Hospital
- Adventhealth Waterman
- Edgewater at Waterman Village
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.52 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.91
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 16 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 21 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS7528 | FL | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manoogian Orthopedic Center, P.a. | Orthopaedic Surgery | Current | Accepting new patients |
| Lco Group PA | Orthopaedic Surgery | Past | Accepting new patients |
Locations
1945 Bay Rd
Mount Dora, FL 32757
Phone (352) 383-2063
3900 Lake Center Dr
Ste A1
Mount Dora, FL 32757
Phone (525) 627-5903
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- vmanoogian724693@direct.shands.ufl.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Mount Dora, FL
- NPI 1205945763
-
dba Florida Musculoskeletal Institute
- Orthopaedic Surgery Physician
- Leesburg, FL
- NPI 1124037783
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Waterman
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
-
- Home Health Agency
- Leesburg, FL
- NPI 1649209537
-
dba Uf Health Emergency/Urgent Care Eustis Mt. Dora
- Urgent Care Clinic/Center
- Leesburg, FL
- NPI 1245001189
Hospital
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1275529455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 BAY RD",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327572105",
"telephone_number": "352-483-5633",
"fax_number": "352-483-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 BAY RD",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327572105",
"telephone_number": "352-483-5633",
"fax_number": "352-483-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANOOGIAN",
"first_name": "VREJ",
"middle_name": "K",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "OS7528",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "FL",
"license": "OS7528",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "DD9204",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FL",
"identifier": "46883",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200041567",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.