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DR. MAGALY VILLAFRADEZ-DIAZ M.D.
NPI 1053575050
Internal Medicine - Rheumatology in Sanford, FL

Active since July 18, 2008PECOS EnrolledAccepts Medicare Assignment
1403 MEDICAL PLAZA DR STE 207, SANFORD, FL 32771(321) 364-0728(321) 364-0729 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2022, Sep 20, 2022, Sep 14, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Magaly Villafradez-diaz M.d. NPPES

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

DR. MAGALY VILLAFRADEZ-DIAZ M.D. (NPI 1053575050) is an individual rheumatology provider in Sanford, Florida, licensed in Florida (ME125151) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053575050
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. MAGALY VILLAFRADEZ-DIAZCredential: M.D.
Location Address1403 MEDICAL PLAZA DR STE 207Sanford, FL 32771-1047
Mailing Address1403 Medical Plaza Dr Ste 207Sanford, FL 32771-1047 · (321) 364-0728 · Fax (321) 364-0729
Phone(321) 364-0728
Fax(321) 364-0729
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 18, 2008
Last NPPES UpdateNovember 29, 20224 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
✔ NPI 1053575050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · ME125151
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1403 MEDICAL PLAZA DR STE 207, Sanford, FL 32771
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Other Names 1

Former Name (1)Liliam Magaly Ortiz M.d.

Secondary Practice Locations 2

Location 11020 W Oak StKissimmee, FL 34741-4113 · Phone (407) 870-1579 · Fax (407) 870-2353
Location 21344 S Apollo Blvd, #300Melbourne, FL 32901-3183 · Phone (321) 802-5059

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. Magaly Villafradez-diaz M.d. 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 ID2466605142
PECOS Enrollment IDI20160927000138
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
149 services72 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
143 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
51 services12 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
21 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32771 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
98%493 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%261 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%447 patients2/55-star benchmark: 61%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

AHLA HUSAIN PA
Physician Assistant (Medical)
1403 MEDICAL PLAZA DR STE 207
SANFORD, FL 32771
Seminole County (321) 364-0728
MID-FLORIDA GROUP OF SPECIALISTS LLC
Internal Medicine (Rheumatology)
1403 MEDICAL PLAZA DR STE 207
SANFORD, FL 32771
Seminole County (321) 364-0728
INFIGO DIALYSIS LLC
Internal Medicine (Nephrology)
1403 MEDICAL PLAZA DR STE 207
SANFORD, FL 32771
Seminole County (321) 364-0728
MID FLORIDA RHEUMATOLOGY AND ARTHRITIS CENTER LLC
Internal Medicine (Rheumatology)
1403 MEDICAL PLAZA DR STE 207
SANFORD, FL 32771
Seminole County (321) 364-0728

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magaly Villafradez-diaz's NPI number?

The NPI number for Magaly Villafradez-diaz is 1053575050. It was assigned to this individual provider in the NPPES registry on July 18, 2008. The provider is also known as Liliam Magaly Ortiz M.D..

Where is Magaly Villafradez-diaz located?

Magaly Villafradez-diaz practices at 1403 Medical Plaza Dr Ste 207, Sanford, FL 32771. The listed phone number is (321) 364-0728.

What is Magaly Villafradez-diaz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Magaly Villafradez-diaz enrolled in Medicare?

Yes. Magaly Villafradez-diaz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Magaly Villafradez-diaz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Magaly Villafradez-diaz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Magaly Villafradez-diaz affiliated with any hospitals?

According to CMS data, Magaly Villafradez-diaz is affiliated with Orlando Health and Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Magaly Villafradez-diaz was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.