Ivan Dario Maya, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME107626 Issued in FL

Practice address

766 N Sun Dr
Suite 3030
Lake Mary, FL 32746-2552

Phone

(407) 444-2800

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nephrology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Associates of Central Florida, P.a.Group PAC ID 2567359375, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Lake Mary Dialysis Dialysis facility, Lake Mary, FL, CCN 682567
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
• Orlando Health Hospital, Orlando, FL, CCN 100006
• Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Nephrology Associates of Central Florida, P.a.

  • Nephrology Physician
  • Longwood, FL
  • NPI 1346297173
  Medicare reassignment Care Compare group NPD
• Montgomery Baptist Outreach Services Corporation

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1770534901
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lourdes Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lake Mary, FL
  • NPI 1083031223

  Dialysis facility

  Care Compare affiliation Name & address match
• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Central Florida Regional Hospital, Inc

  • General Acute Care Hospital
  • Sanford, FL
  • NPI 1285681908
  Care Compare affiliation
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  Care Compare affiliation

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1730111527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S ORLANDO AVE",
            "address_2": "SUITE C",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894870",
            "telephone_number": "407-515-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 N SUN DR",
            "address_2": "SUITE 3030",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462552",
            "telephone_number": "407-444-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYA",
        "first_name": "IVAN",
        "middle_name": "DARIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME107626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002369400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany R Matthews, LMT
• John Mauriello, M.D.
• Ciara Maxfield
• Maxine Minto MD P.a.
• Heather May, LMHC
• Lloyd Javarr Mayes III
• Sara Mazariegos
• Mackenzy Alexis McAbee
• Sydney McBean, APRN
• Nicole Marie McCain, APRN

• Nephrology Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.

Verify at the official NPI Registry.