Individual provider Active NPI

Lina Maria Vargas Abello, M.D.

  • Vascular Surgery Physician
  • Windermere, FL
National Provider Identifier
1306072483
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME126900 Issued in FL
Practice address
13528 Summerport Village Pkwy
Windermere, FL 34786-7366
Phone
(407) 612-7738
Fax
(407) 612-7739
NPI assigned
Jun 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2014-01087 NC
Vascular Surgery Physician 2086S0129X ME126900 FL Primary

Addresses

Primary practice location

13528 Summerport Village Pkwy
Windermere, FL 34786-7366

Mailing address

13528 Summerport Village Pkwy
Windermere, FL 34786-7366
Phone (407) 612-7738

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
I20170726003756 FL Practitioner - Vascular Surgery 2860613114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Vascular Center, P.a.Group PAC ID 7214266584, 2 clinicians

Practice addresses (Care Compare)

13528 Summerport Village Pkwy
Windermere, FL 34786-7366
Phone (401) 612-7739

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-01087NCMDSurgery Physician
ME126900FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Vascular Center, PA Vascular Surgery CurrentSince Jun 1, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 12, 2017 Accepting new patients
Florida Hospital Medical Group Inc Surgery CurrentSince Jun 12, 2017 Accepting new patients
West Orange Physicians Group, LLC Surgery Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2415 N Orange Ave
Ste 302
Orlando, FL 32804
Phone (407) 303-7250

13528 Summerport Village Pkwy
#P
Windermere, FL 34786
Phone (407) 614-8320

13528 Summerport Village Pkwy
Windermere, FL
Phone (407) 612-7738

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: lina.vargas.1@29574.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1306072483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13528 SUMMERPORT VILLAGE PKWY",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867366",
            "telephone_number": "407-612-7738",
            "fax_number": "407-612-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13528 SUMMERPORT VILLAGE PKWY",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867366",
            "telephone_number": "407-612-7738",
            "fax_number": "407-612-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS ABELLO",
        "first_name": "LINA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2014-01087",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME126900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.