Active NPI
Lydia T. Van, M.D.
- Family Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME111794
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Hni Medical Services of Florida, LLC | Family Medicine | Current | Accepting new patients |
| 24 On Physicians, PC | Hospitalist | Current | Accepting new patients |
| 24 On Physicians, P.C. | Hospitalist | Current | Accepting new patients |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Current | Accepting new patients | |
| Professional Health Care of Pinellas Inc. | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| Halifax Healthcare Systems Inc | Family Medicine | Current | Accepting new patients |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Professional Health Care of Pinellas LLC | Family Medicine | Current | Accepting new patients |
| Hni Hospital Services of Florida, LLC | Family Medicine | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | 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
- lvan25969@orlandohealth.medalliesdirect.net
- https://fhir4.healow.com/fhir/r4/EIJHAA
- lvan49460@direct.anmedhealth.net
- 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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
-
dba HHCSI Halifax Family Health Center
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Critical Care Medicine (Internal Medicine) Physician
- Panama City, FL
- NPI 1144851411
Family Medicine
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Family Medicine
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1881647253
Family Medicine
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
- Hospitalist Physician
- Anderson, SC
- NPI 1588613343
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.