Individual provider Active NPI

Hugh Maurice Vangelder, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tavares, FL
National Provider Identifier
1982678678
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME59091 Issued in FL
Practice address
3310 Waterman Way
Tavares, FL 32778-5250
Phone
(352) 343-1216
Fax
(352) 343-1582
NPI assigned
Feb 17, 2006
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME59091 FL Primary

Addresses

Primary practice location

3310 Waterman Way
Tavares, FL 32778-5250

Mailing address

3310 Waterman Way
Tavares, FL 32778-5250
Phone (352) 343-1216

Other identifiers 8

IdentifierTypeStateIssuer
240489OtherFLAVMED
14986OtherFLBCBS
17791OtherFLSTAYWELL
1353524OtherFLUNITED
17791OtherFLWELLCARE
134223953OtherFLHUMANA
1040683OtherFLCIGNA
3306362OtherFLAETNA

Other names 1

  • Hugh M Van Gelder Other name

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
I20100303000245 FL Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 2668371444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
JS Weill Medical College, Cornell University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

131 S Citrus Ave
Suite 202
Inverness, FL 34452-4701
Phone (352) 637-0211

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Pacemaker insertion or repair1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME59091FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Oct 11, 2021 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 11, 2021 Accepting new patients
West Florida Cardiology Network, LLC CurrentSince Apr 1, 2024 Accepting new patients
Cardiovascular Clinic of Nebraska PastSince May 1, 2019 Accepting new patients
Cardiology Consultants Past Accepting new patients

Locations

131 S Citrus Ave
Ste 202
Inverness, FL 34452
Phone (352) 637-0211

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

6006 49th St N
Ste 200
St Petersburg, FL 33709
Phone (727) 381-9696

6006 49th St N
Ste 310
St Petersburg, FL 33709
Phone (727) 345-2929

9332 State Road 54
Ste 405
Trinity, FL 34655
Phone (727) 375-8264

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
  • Direct secure messaging: hugh.vangelder@hca4.eclinicaldirectplus.com

Organizations & group practices 5

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 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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1982678678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785250",
            "telephone_number": "352-343-1216",
            "fax_number": "352-343-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785250",
            "telephone_number": "352-343-1216",
            "fax_number": "352-343-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGELDER",
        "first_name": "HUGH",
        "middle_name": "MAURICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME59091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "240489",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14986",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "17791",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "1353524",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "17791",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "134223953",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1040683",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3306362",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HUGH",
            "last_name": "VAN GELDER",
            "middle_name": "M",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.