Individual provider Active NPI

Diane Carol Vanhorne- Padilla, MD

  • Infectious Disease Physician
  • Longwood, FL
National Provider Identifier
1457467045
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME116142 Issued in FL
Practice address
3259 Lakeview Oaks Dr
Longwood, FL 32779-3158
Phone
(407) 408-9817
Fax
(386) 943-3118
NPI assigned
Aug 23, 2006
Last updated
Oct 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME116142 FL Primary

Addresses

Primary practice location

3259 Lakeview Oaks Dr
Longwood, FL 32779-3158

Mailing address

3259 Lakeview Oaks Dr
Longwood, FL 32779-3158
Phone (407) 408-9817

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
I20130702000658 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 6800036427 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chaldean-Care Infectious Diseases LLCGroup PAC ID 5294110029, 2 clinicians

Practice addresses (Care Compare)

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (956) 655-3078

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116142FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Specialists Inc CurrentSince Jul 1, 2013 Accepting new patients
Mid Florida Hospital Specialists PA CurrentSince Mar 1, 2022 Accepting new patients
Orlando Inpatient Medicine, PA CurrentSince Aug 1, 2024 Accepting new patients

Locations

9838 Old Baymeadows Rd
Jacksonville, FL 32256
Phone (904) 472-0537

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

5717 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (321) 207-0172

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1457467045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3259 LAKEVIEW OAKS DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793158",
            "telephone_number": "407-408-9817",
            "fax_number": "386-943-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 LAKEVIEW OAKS DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793158",
            "telephone_number": "407-408-9817",
            "fax_number": "386-943-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHORNE- PADILLA",
        "first_name": "DIANE",
        "middle_name": "CAROL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME116142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.