Active NPI
Lillian M. Vargas, MD
- Internal Medicine Physician
- Kissimmee, FL
National Provider Identifier
1508902099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0047210
- Practice address
- 1050 Cypress Pkwy
Kissimmee, FL 34759-3328 - Phone
- (407) 483-1400
- Fax
- (407) 483-1405
- NPI assigned
- Jan 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0047210 | FL | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | ME0047210 | FL |
Addresses
Primary practice location
1050 Cypress Pkwy
Kissimmee, FL 34759-3328
Mailing address
PO Box 616788
Orlando, FL 32861-6788
Phone (407) 447-7105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002357600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0047210 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metcare of Florida, Inc | Internal Medicine | Past | Accepting new patients |
| Orlando Family Physicians, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1902893225
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1508902099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 616788",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328616788",
"telephone_number": "407-447-7105",
"fax_number": "407-770-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 CYPRESS PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347593328",
"telephone_number": "407-483-1400",
"fax_number": "407-483-1405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "LILLIAN",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0047210",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME0047210",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002357600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.