Individual provider Active NPI

Vinod R Miryala, MD

  • Cardiovascular Disease Physician
  • The Villages, FL
National Provider Identifier
1891996880
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME75516 Issued in FL
Practice address
910 Old Camp Rd
BLDG 210
The Villages, FL 32162-5604
Phone
(352) 751-3356
Fax
(352) 751-3359
NPI assigned
May 29, 2007
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME75516 FL Primary

Addresses

Primary practice location

910 Old Camp Rd
BLDG 210
The Villages, FL 32162-5604

Mailing address

308 W Highland Blvd
Inverness, FL 34452-4716
Phone (352) 726-8353

Other practice location 1

5575 E Sr 44
Wildwood, FL 34785-8282
Phone (352) 571-4418

Other practice location 2

801 E Dixie Ave Ste 107
Leesburg, FL 34748-7601
Phone (352) 315-0627

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071025000337 FL Practitioner - Cardiovascular Disease (Cardiology) 0941397723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

910 Old Camp Rd
Suite 210
The Villages, FL 32162-5605
Phone (352) 751-3356

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Cardiology Consultants, PLLC Cardiovascular Disease CurrentSince Aug 29, 2007 Accepting new patients
Citrus Cardiology Consultants, PLLC CurrentSince Aug 29, 2007 Accepting new patients
Lakewood CCL, LLC CurrentSince Oct 28, 2019 Accepting new patients

Locations

308 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-8353

801 E Dixie Ave
Ste 107
Leesburg, FL 34748
Phone (352) 315-0627

910 Old Camp Rd
Ste 210
The Villages, FL 32162
Phone (352) 530-2256

5571 E Sr 44
Ste 502
Wildwood, FL 34785
Phone (352) 504-3500

5575 E State Road 44
Wildwood, FL 34785
Phone (352) 571-4418

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGIAD
  • Direct secure messaging: vmiryala562680@direct.shands.ufl.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1891996880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524716",
            "telephone_number": "352-726-8353",
            "fax_number": "352-726-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD",
            "address_2": "BLDG 210",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625604",
            "telephone_number": "352-751-3356",
            "fax_number": "352-751-3359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 E SR 44",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "FL",
            "postal_code": "347858282",
            "country_code": "US",
            "telephone_number": "352-571-4418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 E Dixie Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347487601",
            "country_code": "US",
            "telephone_number": "352-315-0627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRYALA",
        "first_name": "VINOD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME75516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.