Mark A. Lagatta, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME0073930 Issued in FL

Practice address

4100 Metric Dr
Suite 200
Winter Park, FL 32792-6832

Phone

(407) 681-8720

Fax

(407) 681-8729

NPI assigned

Aug 24, 2005

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 4

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

University of Texas Medical School at San Antonio, 1996

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 Winter Park Hemo Dialysis Dialysis facility, Winter Park, FL, CCN 102858
• DaVita Winter Park Home PD Dialysis Dialysis facility, Winter Park, FL, CCN 102823
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
• Oviedo Medical Center Hospital, Oviedo, FL, CCN 100329
• Orlando Health Hospital, Orlando, FL, CCN 100006
• Adventhealth Inpatient Rehabilitation Inpatient rehabilitation facility, Orlando, FL, CCN 10T007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare 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
• Solution Health Specialists LLC

  • Internal Medicine Physician
  • Altamonte SPG, FL
  • NPI 1265277453
  Medicare reassignment NPD
• Dialysis Ser Central Florida LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winter Park, FL
  • NPI 1417072547
  NPD (past)
• Renal Access of Central Florida LLC

  • Nephrology Physician
  • Altamonte Springs, FL
  • NPI 1790009165
  NPD (past)

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

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winter Park, FL
  • NPI 1215176433

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winter Park, FL
  • NPI 1962640581

  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
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  Care Compare affiliation
• Oviedo Medical Center, LLC

  • General Acute Care Hospital
  • Oviedo, FL
  • NPI 1245785567
  Care Compare affiliation

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1821081985",
    "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": "407-894-4693",
            "fax_number": "407-539-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 METRIC DR",
            "address_2": "SUITE 200",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327926832",
            "telephone_number": "407-681-8720",
            "fax_number": "407-681-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGATTA",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0073930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "42654",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260724700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "276417",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "390007737",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Labs on the Go
• Lac H Pham,M.D.P.a.
• Prashanta Laddu, MD
• Vatsal M Ladia, MD
• Kelly E Lafave, MD
• Don Felix Lahens, MA
• John M Lahr, PA-C
• Thuy Anh Lai
• Lake Behavioral Health Management
• Lake Dental Services, PA

• Nephrology Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.