Individual provider Active NPI

Lawrence E Vallario, M.D.

  • Cardiovascular Disease Physician
  • Lake Mary, FL
National Provider Identifier
1710084199
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 50921 Issued in FL
Practice address
910 Williston Park PT
Ste 1000
Lake Mary, FL 32746-2163
Phone
(407) 833-8028
Fax
(407) 833-8033
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 50921 FL Primary
Nuclear Cardiology Physician 207UN0901X ME 50921 FL

Addresses

Primary practice location

910 Williston Park PT
Ste 1000
Lake Mary, FL 32746-2163

Mailing address

910 Williston Park PT
Ste 1000
Lake Mary, FL 32746-2163
Phone (407) 833-8028

Other identifiers 1

IdentifierTypeStateIssuer
04304OtherFLBCBS OF FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR2 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
I20120425000697 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 3971782459
I20240826001957 OR Practitioner - Cardiovascular Disease (Cardiology) 3971782459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Florida College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Medical Group IncGroup PAC ID 6103982962, 60 clinicians

Practice addresses (Care Compare)

2801 NW Mercy Dr
Suite 300
Roseburg, OR 97471-2348
Phone (541) 677-1555

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

Merit-based Incentive Payment System (MIPS)

Final score
83.4 of 100Reported as group
Quality
67.01
Promoting interoperability
99
Improvement activities
40
Cost
78.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 50921FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Volusia Healthcare Corporation CurrentSince Aug 16, 2021 Accepting new patients
Centennial Medical Group Inc. Cardiovascular Disease CurrentSince Jul 15, 2024 Accepting new patients
Southwest Volusia Healthcare Corporation CurrentSince Aug 16, 2021 Accepting new patients
Central Florida Cardiology Interpretations LLC CurrentSince Jun 1, 2003 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1565 Saxon Blvd
Ste 202
Deltona, FL 32725
Phone (386) 259-5529

910 Williston Park Pt
Ste 1000
Lake Mary, FL 32746
Phone (407) 803-8028

1035 Town Center Dr
Orange City, FL 32763
Phone (386) 775-8229

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

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

201 NW Medical Loop
Ste 190
Roseburg, OR 97471
Phone (541) 644-4319

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

2801 NW Mercy Dr
Ste 300
Roseburg, OR 97471
Phone (541) 677-1555

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1710084199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WILLISTON PARK PT",
            "address_2": "STE 1000",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462163",
            "telephone_number": "407-833-8028",
            "fax_number": "407-833-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WILLISTON PARK PT",
            "address_2": "STE 1000",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462163",
            "telephone_number": "407-833-8028",
            "fax_number": "407-833-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLARIO",
        "first_name": "LAWRENCE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 50921",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "FL",
            "license": "ME 50921",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "04304",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.