Individual provider Active NPI

Hector Vydas

  • Family Medicine Physician
  • Hudson, FL
National Provider Identifier
1669551099
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME166808 Issued in IL
Practice address
7463 State Road 52
Hudson, FL 34667-6714
Phone
(727) 873-3891
NPI assigned
Nov 5, 2006
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME166808 IL Primary

Addresses

Primary practice location

7463 State Road 52
Hudson, FL 34667-6714

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other practice location 1

12582 US Highway 19
Hudson, FL 34667-1952
Phone (727) 873-3891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110325000490 IL Practitioner - Family Practice 1557429206 Reassigns benefits to 1 organization
I20240705001816 FL Practitioner - Family Practice 1557429206 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME166808ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Current Accepting new patients
Conviva Medical Center Management LLC Family Medicine CurrentSince Dec 12, 2024 Accepting new patients
Cook County Family Medicine CurrentSince Sep 8, 2015 Accepting new patients
Cook County CurrentSince Sep 8, 2015 Accepting new patients
Miami Beach Medical Consultants, LLC. Family Medicine CurrentSince Jul 15, 2024 Accepting new patients

Locations

7291 Atlantic Ave
#48
Delray Beach, FL 33446
Phone (561) 344-1130

7463 State Road 52
Hudson, FL 34667
Phone (727) 203-4065

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

2417 US Highway 98 N
Lakeland, FL 33805
Phone (863) 821-0030

1563 Land O Lakes Blvd
Lutz, FL 33549
Phone (813) 345-3831

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

7500 SW 8th St
Ste 400
Miami, FL 33144

1200 Alton Rd
Miami Beach, FL 33139
Phone (305) 534-3242

6710 Hanley Rd
Tampa, FL 33634
Phone (813) 284-7903

1900 W Polk St
Fl 13
Chicago, IL 60612

1900 W Polk St
Rm 1350
Chicago, IL 60612

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

Interoperability endpoints

  • Direct secure messaging: hector.vydas.p1@direct.mbmg.nextgenshare.com
  • Direct secure messaging: hvydas@direct.ccprovider.org

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1669551099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7463 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676714",
            "telephone_number": "727-873-3891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12582 US Highway 19",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346671952",
            "country_code": "US",
            "telephone_number": "727-873-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VYDAS",
        "first_name": "HECTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "ME166808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.