NPIMap

Individual provider Active NPI

Mark A. Lagatta, M.D.

  • Nephrology Physician
  • Winter Park, FL
National Provider Identifier
1821081985
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME0073930 FL Primary

Addresses

Primary practice location

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

Mailing address

807 S Orlando Ave
Suite C
Winter Park, FL 32789-4870
Phone (407) 894-4693

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
I20100211000667 FL Practitioner - Nephrology 3577599570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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)

4100 Metric Dr
Suite 200
Winter Park, FL 32792-6832
Phone (407) 681-8720

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0073930FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solution Health Specialists LLC CurrentSince Oct 1, 2025 Accepting new patients
Nephrology Associates of Central Florida, P.a. Nephrology CurrentSince Jul 2, 2001 Accepting new patients
Dialysis Ser Central Florida LLC PastSince Jan 23, 2006 Accepting new patients
Renal Access of Central Florida LLC Nephrology Past Accepting new patients

Locations

851 W State Road 436
Ste 1039
Altamonte Springs, FL 32714
Phone (407) 571-9074

2501 N Orange Ave
Ste 537N
Orlando, FL 32804
Phone (407) 894-4693

4100 Metric Dr
Ste 200
Winter Park, FL 32792
Phone (407) 681-8720

807 S Orlando Ave
Ste C
Winter Park, FL 32789
Phone (407) 894-4693

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.