DR. WILLIAM RODRIGO VIVAS DPM
NPI 1053467993
Podiatrist - Foot Surgery in Sanford, FL

Q: What is William Vivas's NPI number?

The NPI number for William Vivas is 1053467993. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is William Vivas's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Q: When was this NPI record last updated?

The NPPES record for William Vivas was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment

4930 E LAKE MARY BLVD, SANFORD, FL 32771(407) 322-8645(407) 330-5074 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2020, May 15, 2020, Mar 17, 2016 (3 updates tracked since 2016).

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About Dr. William Rodrigo Vivas Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM RODRIGO VIVAS DPM (NPI 1053467993) is an individual foot surgery provider in Sanford, Florida, licensed in Florida (PO 1733) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1985).

NPPES Registry Identity

NPI1053467993

Entity TypeIndividualMale

Primary Taxonomy213ES0131X

Provider Legal NameDR. WILLIAM RODRIGO VIVASCredential: DPM

Location Address4930 E LAKE MARY BLVDSanford, FL 32771-5003

Mailing Address4930 E Lake Mary BlvdSanford, FL 32771-5003 · (407) 322-8645 · Fax (407) 330-5074

Phone(407) 322-8645

Fax(407) 330-5074

Sole ProprietorNo

Medical School CMSKent State University College Of Podiatric MedicineGraduated 1985

Enumeration DateJanuary 25, 2007

Last NPPES UpdateSeptember 3, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2020

✔ NPI 1053467993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0131X

License✔ Licensed in FL · PO 1733

4930 E LAKE MARY BLVD, Sanford, FL 32771

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Other Identifiers 1

Medicaid016877500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William Rodrigo Vivas Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052508249

PECOS Enrollment IDI20101214000998

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRAL FLORIDA FAMILY HEALTH CENTER

Clinic/Center (Community Health)