Individual provider Active NPI

Victor David Pareja, CRNA

  • Certified Registered Nurse Anesthetist
  • Longwood, FL
National Provider Identifier
1861028912
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9446601 Issued in FL
Practice address
555 W State Road 434
Longwood, FL 32750-5119
Phone
(407) 831-0945
NPI assigned
Mar 20, 2020
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9446601 FL Primary

Addresses

Primary practice location

555 W State Road 434
Longwood, FL 32750-5119

Mailing address

100 W Grant St Apt 3074
Orlando, FL 32806-3969
Phone (386) 334-6776

Other practice location 1

83 W Miller St
Orlando, FL 32806-2031
Phone (321) 843-9792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200529001796 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456772466 Reassigns benefits to 8 organizations
I20240909001272 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456772466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2040 Oakley Seaver Dr
Suite 100
Clermont, FL 34711-1970
Phone (954) 939-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
97.3
Promoting interoperability
100
Improvement activities
40
Cost
74.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9446601FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
MNH Gi Anesthesia & Pain Management LLC CurrentSince Apr 21, 2022 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 12, 2024 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Orlando Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2024 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 13, 2024 Accepting new patients
Upland Hills Health Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Upland Hills Health, Inc CurrentSince Aug 1, 2024 Accepting new patients
Innovative Medical Staffing Solutions Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2024 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Jun 1, 2024 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jun 1, 2024 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince May 4, 2020 Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Quiescence Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince May 4, 2020 Accepting new patients

Locations (25 of 38)

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

93 N Park Place Blvd
Ste 102
Clearwater, FL 33759
Phone (727) 240-2088

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

2040 Oakley Seaver Dr
Ste 100
Clermont, FL 34711
Phone (352) 536-8865

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

980 Milwaukee Ave
Dunedin, FL 34698
Phone (330) 704-4752

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 322-5600

5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

8825 Perimeter Park Blvd
Ste 102
Jacksonville, FL 32216
Phone (904) 399-4004

9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597

9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

619 SW Baya Dr
Ste 102
Lake City, FL 32025
Phone (386) 361-3400

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

740 Concourse Pkwy S
Ste 100
Maitland, FL 32751
Phone (407) 644-4222

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484

Organizations & group practices 15

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.

View all 15

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1861028912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W GRANT ST APT 3074",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063969",
            "telephone_number": "386-334-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505119",
            "telephone_number": "407-831-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 W Miller St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062031",
            "country_code": "US",
            "telephone_number": "321-843-9792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAREJA",
        "first_name": "VICTOR",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9446601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.