Individual provider Active NPI

Lazaro Luis Delgado, MD

  • Nephrology Physician
  • Kissimmee, FL
National Provider Identifier
1972579779
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME87494 Issued in FL
Practice address
1101 N Central Ave
Kissimmee, FL 34741-4405
Phone
(407) 851-5600
Fax
(407) 438-9585
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 ME87494 FL Primary

Addresses

Primary practice location

1101 N Central Ave
Kissimmee, FL 34741-4405

Mailing address

3885 Oakwater Cir
Orlando, FL 32806-6257
Phone (407) 816-5735

Other identifiers 4

IdentifierTypeStateIssuer
79357OtherFLBC/BS
266641300MedicaidFL
2301077OtherFLUNITED HEALTHCARE
7886327OtherFLAETNA

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
I20050401000823 FL Practitioner - NephrologyPractitioner - Internal Medicine 6103873161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Kidney Specialists IncGroup PAC ID 6608233705, 38 clinicians

Practice addresses (Care Compare)

1121 N Central Ave
Kissimmee, FL 34741-4405
Phone (407) 933-2210

Hospital & facility affiliations

  • DaVita St Cloud Dialysis Dialysis facility, Saint Cloud, FL, CCN 102832
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302
  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110
  • Ucf Lake Nona Hospital Hospital, Orlando, FL, CCN 100350
  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
-OHMDDentist
ME87494FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Kidney Specialists Inc Nephrology CurrentSince Jun 1, 2023 Accepting new patients
Nephrology Associates of Central Florida, P.a. Nephrology CurrentSince Jun 1, 2010 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

337 S North Lake Blvd
Ste 1002
Altamonte Springs, FL 32701
Phone (407) 260-1679

1121 N Central Ave
Kissimmee, FL 34741
Phone (407) 933-1221

1121 N Central Ave
Ste B
Kissimmee, FL 34741
Phone (407) 933-1221

1101 N Central Ave
Kissimmee, FL 34741
Phone (407) 284-1993

1511 Sligh Blvd
Unit A
Orlando, FL 32806
Phone (407) 317-9000

3885 Oakwater Cir
Orlando, FL 32806
Phone (407) 816-5700

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

27 E 13th St
Saint Cloud, FL 34769

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lazaro.delgado@direct.davitaphysiciansolutions.com
  • Direct secure messaging: ldelgado26462@orlandohealth.medalliesdirect.net

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 and National Provider Directory roles.

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1972579779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066257",
            "telephone_number": "407-816-5735",
            "fax_number": "407-812-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414405",
            "telephone_number": "407-851-5600",
            "fax_number": "407-438-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "LAZARO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME87494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "79357",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266641300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2301077",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7886327",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.