Active NPI
Mamta Ved Vijayvargiya, MD
- Hematology & Oncology Physician
- Orange City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- ME83720
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264036800 | Medicaid | FL |
Other names 1
- Mamta Ved Gupta
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
Enrollment records 1
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
Practice addresses (Care Compare)
1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000
Hospital & facility affiliations
- Adventhealth Fish Memorial
- Adventhealth Deland
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME83720 | FL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| Osceola Cancer Center | Current | 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
- 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.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Specialist
- Kissimmee, FL
- NPI 1629034202
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
-
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.