NPIMap

Individual provider Active NPI

Panthipa Laowansiri, M.D.

  • Infectious Disease Physician
  • The Villages, FL
National Provider Identifier
1801057724
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME111833 Issued in FL
Practice address
1576 Bella Cruz Dr
Suite 336
The Villages, FL 32159-8969
Phone
(224) 610-9552
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125052304 IL
Infectious Disease Physician 207RI0200X ME111833 FL Primary

Addresses

Primary practice location

1576 Bella Cruz Dr
Suite 336
The Villages, FL 32159-8969

Mailing address

2020 Oakley Seaver Dr
Ste 1
Clermont, FL 34711-1902
Phone (352) 404-7718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120711000548 FL Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Other (Physician) 6709041056 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Health Care LLCGroup PAC ID 1456638956, 4 clinicians

Practice addresses (Care Compare)

1501 N US Hwy 441
Suite 1800
The Villages, FL 32159-6802
Phone (352) 751-8820

929 N Hwy 441
Suite 102
Lady Lake, FL 32159-3002
Phone (352) 350-2474

PO Box
Suite 1867
Ocala, FL 32159-3002

Hospital & facility affiliations

  • Empath Home Health Home health agency, Belleview, FL, CCN 107556
  • Concierge Home Care Home health agency, The Villages, FL, CCN 108320
  • HCA Florida Healthcare at Home Home health agency, The Villages, FL, CCN 109581
  • Angels Care Home Health Home health agency, Clermont, FL, CCN 108236
  • Florida Homecare Specialists Inc Home health agency, Lady Lake, FL, CCN 109071
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113
  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue879

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125052304ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Care Specialists LLC CurrentSince Aug 22, 2017 Accepting new patients
Florida Health Care LLC Infectious Disease CurrentSince May 1, 2017 Accepting new patients
Infectious Disease and Wound Care Solutions, LLC Infectious Disease CurrentSince Sep 9, 2025 Accepting new patients

Locations

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

1501 N US Highway 441
Ste 1800
The Villages, FL 32159
Phone (352) 323-4000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1801057724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 OAKLEY SEAVER DR",
            "address_2": "STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111902",
            "telephone_number": "352-404-7718",
            "fax_number": "352-404-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 BELLA CRUZ DR",
            "address_2": "SUITE 336",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598969",
            "telephone_number": "224-610-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAOWANSIRI",
        "first_name": "PANTHIPA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125052304",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME111833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.