Individual provider Active NPI

Silvia Marie Villegas Van Der Linde, MD

  • Obstetrics & Gynecology Physician
  • Brandon, FL
National Provider Identifier
1891990917
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME105843 Issued in FL
Practice address
515 S Kings Ave Ste 3000
Brandon, FL 33511-6060
Phone
(813) 681-6625
Fax
(813) 684-6043
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 64910-20 WI
Obstetrics & Gynecology Physician 207V00000X ME105843 FL Primary

Addresses

Primary practice location

515 S Kings Ave Ste 3000
Brandon, FL 33511-6060

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0333

Other practice location 1

3340 Waterman Way
Tavares, FL 32778-5250
Phone (352) 589-6005

Other practice location 2

13149 Elk Mountain Dr
Riverview, FL 33579-7184
Phone (813) 675-8326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100914000995 FL Practitioner - Obstetrics/Gynecology 1759406739 Reassigns benefits to 3 organizations
I20160115001662 WI Practitioner - Obstetrics/Gynecology 1759406739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens' Health Hospitalists, LLCGroup PAC ID 1850674870, 20 clinicians

Practice addresses (Care Compare)

4030 W Boy Scout Blvd
Suite 800
Tampa, FL 33607-5713
Phone (813) 286-0033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105843FLMDObstetrics & Gynecology Physician
64910-20WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Nov 11, 2019 Accepting new patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince Mar 2, 2023 Accepting new patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Nov 11, 2019 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 18, 2016 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Mar 2, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 18, 2016 Accepting new patients
Institute for Women'S Health and Body, LLC Obstetrics & Gynecology Past Accepting new patients
Raulerson GYN LLC Past Accepting new patients

Locations

515 S Kings Ave
Ste 3000
Brandon, FL 33511
Phone (813) 681-6625

1733 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 688-1528

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

13149 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 675-8326

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

5002 W Lemon St
Tampa, FL 33609

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

3340 Waterman Way
Tavares, FL 32778
Phone (352) 589-6005

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1891990917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0333",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S KINGS AVE STE 3000",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116060",
            "telephone_number": "813-681-6625",
            "fax_number": "813-684-6043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3340 Waterman Way",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327785250",
            "country_code": "US",
            "telephone_number": "352-589-6005",
            "fax_number": "352-589-6012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13149 Elk Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335797184",
            "country_code": "US",
            "telephone_number": "813-675-8326",
            "fax_number": "813-675-8336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLEGAS VAN DER LINDE",
        "first_name": "SILVIA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "64910-20",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME105843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.