NPIMap

Individual provider Active NPI

Dipali Trivedi, MD

  • Medical Oncology Physician
  • Lake Mary, FL
National Provider Identifier
1407055973
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME112368 Issued in FL
Practice address
805 Currency Cir
Lake Mary, FL 32746-2115
Phone
(407) 804-6133
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X ME112368 FL
Medical Oncology Physician 207RX0202X ME112368 FL Primary

Addresses

Primary practice location

805 Currency Cir
Lake Mary, FL 32746-2115

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other identifiers 2

IdentifierTypeStateIssuer
004728400MedicaidFL
04728400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151119001537 FL Practitioner - Hematology/Oncology 4789770637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
New York Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

460 N Orlando Ave
Suite 200 Building D
Winter Park, FL 32789-2920
Phone (407) 898-5452

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME112368FLMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Regional Health Systems, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology CurrentSince Feb 1, 2022 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology PastSince Mar 1, 2020 Accepting new patients

Locations

810 N Spring Garden Ave
Ste 100
Deland, FL 32720
Phone (386) 279-0060

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

805 Currency Cir
Lake Mary, FL 32746
Phone (407) 804-6133

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

2824 Enterprise Rd
Orange City, FL 32763
Phone (386) 774-7411

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

460 N Orlando Ave
Ste 200
Winter Park, FL 32789
Phone (407) 898-5452

2100 Glenwood Dr
Ste 102
Winter Park, FL 32792
Phone (407) 628-5594

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1407055973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 CURRENCY CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462115",
            "telephone_number": "407-804-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "DIPALI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME112368",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME112368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004728400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04728400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.