Individual provider Active NPI

Lydia T. Van, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1326277369
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME111794 Issued in FL
Practice address
5449 S Semoran Blvd
Suite 14
Orlando, FL 32822
Phone
(407) 322-8645
Fax
(407) 367-0929
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0057186 CO
Hospitalist Physician 208M00000X ME111794 FL
Hospitalist Physician 208M00000X DR.0057186 CO
Family Medicine Physician 207Q00000X ME111794 FL Primary

Addresses

Primary practice location

5449 S Semoran Blvd
Suite 14
Orlando, FL 32822

Mailing address

5449 S Semoran Blvd
Suite 14
Orlando, FL 32822-1722
Phone (407) 322-8645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO, SC, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20121002000596 FL Practitioner - Family PracticePractitioner - Hospitalist 5991954224 Reassigns benefits to 7 organizations
I20160726002870 CO Practitioner - HospitalistPractitioner - Family Practice 5991954224 Reassigns benefits to 1 organization
I20211214002556 SC Practitioner - Family PracticePractitioner - Hospitalist 5991954224 Reassigns benefits to 1 organization
I20240924001106 NC Practitioner - Family Practice 5991954224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Jul 1, 2018 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 28, 2019 Accepting new patients
Hni Medical Services of Florida, LLC Family Medicine CurrentSince Jan 19, 2021 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Nov 15, 2021 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Nov 15, 2021 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jul 11, 2016 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Nov 1, 2020 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Feb 1, 2014 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jul 11, 2016 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Nov 1, 2020 Accepting new patients
Halifax Healthcare Systems Inc Family Medicine CurrentSince Feb 2, 2015 Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2018 Accepting new patients
Professional Health Care of Pinellas LLC Family Medicine CurrentSince Feb 1, 2014 Accepting new patients
Hni Hospital Services of Florida, LLC Family Medicine CurrentSince Jan 22, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 28, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Aug 1, 2024 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1400 E Boulder St
Ste 2508
Colorado Springs, CO 80909
Phone (719) 365-1292

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

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

86 Underwood St
Orlando, FL 32806
Phone (321) 841-5142

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

318 Maxwell Rd
Ste 500
Alpharetta, GA 30009
Phone (770) 274-0473

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

Interoperability endpoints

  • Direct secure messaging: lvan25969@orlandohealth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA
  • Direct secure messaging: lvan49460@direct.anmedhealth.net
  • Direct secure messaging: lvan26430@epicdirect.hf.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1326277369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 S SEMORAN BLVD",
            "address_2": "SUITE 14",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221722",
            "telephone_number": "407-322-8645",
            "fax_number": "407-367-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 S SEMORAN BLVD",
            "address_2": "SUITE 14",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32822",
            "telephone_number": "407-322-8645",
            "fax_number": "407-367-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "LYDIA",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0057186",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME111794",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0057186",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME111794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.