Luis Vaca, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

ME138226 Issued in FL

Practice address

1623 SW 1St Ave
Ocala, FL 34471-6528

Phone

(352) 401-8817

Fax

(352) 401-8822

NPI assigned

Jul 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, FL2 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 2

Specialty

Diagnostic Radiology

Education

University of California, Geffen School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
• HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  Neuroradiology

  Medicare reassignment Care Compare group NPD
• Florida Hospital Physician Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256

  Internal Medicine

  Medicare reassignment NPD
• MHS Physicians of Texas

  • Neurological Surgery Physician
  • Shenandoah, TX
  • NPI 1184714867

  Internal Medicine

  Medicare reassignment NPD
• Radiology Physician Solutions of West Florida, LLC

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1104205046
  Medicare reassignment
• Radiology Physician Solutions of West Florida, LLC

  • Diagnostic Radiology Physician
  • Inverness, FL
  • NPI 1841687811
  NPD
• Sheridan Radiology Services of Pinellas, Inc.

  dba DBA Pinellas Radiology Associates

  • Diagnostic Radiology Physician
  • West Palm Beach, FL
  • NPI 1609211432
  NPD
• Memorial Hermann Neighborhood Health Centers, PLLC

  • Hospitalist Physician
  • Houston, TX
  • NPI 1043266299

  Internal Medicine

  NPD
• MHS Physicians of Texas

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Houston, TX
  • NPI 1144543604
  NPD
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Galencare, Inc.

  dba HCA Florida Brandon Hospital

  • General Acute Care Hospital
  • Brandon, FL
  • NPI 1669427258
  Care Compare affiliation
• Largo Medical Center, Inc.

  dba HCA Florida Largo Hospital

  • General Acute Care Hospital
  • Largo, FL
  • NPI 1144274879
  Care Compare affiliation

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1407055114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462060765",
            "telephone_number": "888-685-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716528",
            "telephone_number": "352-401-8817",
            "fax_number": "352-401-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Oakfield Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115779",
            "country_code": "US",
            "telephone_number": "813-681-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VACA",
        "first_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MO",
            "license": "2013040411",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q1044",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME138226",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "EC071074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124410",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neuroradiology Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Neuroradiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.

Verify at the official NPI Registry.