Individual provider Active NPI

Mamta Ved Vijayvargiya, MD

  • Hematology & Oncology Physician
  • Orange City, FL
National Provider Identifier
1598733685
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME83720 Issued in FL
Practice address
1061 Medical Center Dr Ste 110
Orange City, FL 32763-8225
Phone
(386) 917-7594
Fax
(386) 456-3257
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME83720 FL Primary

Addresses

Primary practice location

1061 Medical Center Dr Ste 110
Orange City, FL 32763-8225

Mailing address

770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179

Other identifiers 1

IdentifierTypeStateIssuer
264036800MedicaidFL

Other names 1

  • Mamta Ved Gupta Other name

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
I20100325000654 FL Practitioner - Hematology/Oncology 7911033204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000

Hospital & facility affiliations

  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME83720FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Healthcare Partners, Inc CurrentSince Jun 12, 2025 Accepting new patients
Osceola Cancer Center CurrentSince Jun 1, 2002 Accepting new patients

Locations

737 W Oak St
Kissimmee, FL 34741
Phone (407) 279-0334

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

1061 Medical Center Dr
Ste 110
Orange City, FL 32763
Phone (386) 774-1223

770 W Granada Blvd
Ste 101
Ormond Beach, FL 32174
Phone (386) 231-4519

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

Interoperability endpoints

  • Direct secure messaging: mvijay@occ.directbygreenway.com

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.

Hospital & facility affiliations 3

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1598733685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W GRANADA BLVD STE 101",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 MEDICAL CENTER DR STE 110",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638225",
            "telephone_number": "386-917-7594",
            "fax_number": "386-456-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYVARGIYA",
        "first_name": "MAMTA",
        "middle_name": "VED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME83720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264036800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAMTA",
            "last_name": "GUPTA",
            "middle_name": "VED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.