Individual provider Active NPI

Vrej K Manoogian, D.O.

  • Orthopaedic Surgery Physician
  • Mount Dora, FL
National Provider Identifier
1275529455
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS7528 Issued in FL
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

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DD9204OtherFLRAILROAD MEDICARE GROUP
46883OtherFLBLUE CROSS BLUE SHIELD FL
200041567OtherFLRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000118 FL Practitioner - Orthopedic Surgery 1850320243 Reassigns benefits to 1 organization

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
Manoogian Orthopedic Center PAGroup PAC ID 6507826096, 4 clinicians

Practice addresses (Care Compare)

1945 Bay Rd
Mount Dora, FL 32757-2105
Phone (352) 483-5633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.52 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement16
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

LicenseStateTypeSpecialty
OS7528FLMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manoogian Orthopedic Center, P.a. Orthopaedic Surgery CurrentSince Oct 8, 2001 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.