1. Home
  2. Directory
  3. Florida
  4. Lake Park
  5. Pediatrics
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DIBANNI VASQUEZ M.D.
NPI 1124319611
Pediatrics in Lake Park, FL

Active since May 02, 2011PECOS Enrolled
500 US HIGHWAY 1, LAKE PARK, FL 33403(407) 898-2767(407) 898-9443 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dibanni Vasquez M.d. NPPES

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

DIBANNI VASQUEZ M.D. (NPI 1124319611) is an individual pediatrics provider in Lake Park, Florida, licensed in Florida (ME 109534) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Port St Lucie.

NPPES Registry Identity

NPI1124319611
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDIBANNI VASQUEZCredential: M.D.
Location Address500 US HIGHWAY 1Lake Park, FL 33403-3598
Mailing Address2660 W Fairbanks AveWinter Park, FL 32789-3385 · (407) 898-2767 · Fax (407) 898-9443
Phone(407) 898-2767
Fax(407) 898-9443
Sole ProprietorNo
Enumeration DateMay 2, 2011
Last NPPES UpdateAugust 7, 2026
NPPES CertifiedAugust 7, 2026
✔ NPI 1124319611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME 109534
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X · License ME109534 (FL)
500 US HIGHWAY 1, Lake Park, FL 33403
Open in Google Maps ↗

Secondary Practice Location 1

Location 1561 NW Lake Whitney Pl Ste 101Port St Lucie, FL 34986-1624 · Phone (407) 898-2767 · Fax (407) 898-9443

Other Identifiers 1

Medicaid119093800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. 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 (PECOS)

Dibanni Vasquez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33403 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES

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

DR. JORGE ANTONIO SALLENT M.D.
Pediatrics (Pediatric Pulmonology)
500 US HIGHWAY 1
WEST PALM BEACH, FL 33403
Palm Beach County (561) 863-0105

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 Dibanni Vasquez's NPI number?

The NPI number for Dibanni Vasquez is 1124319611. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Where is Dibanni Vasquez located?

Dibanni Vasquez practices at 500 Us Highway 1, Lake Park, FL 33403. The listed phone number is (407) 898-2767.

What is Dibanni Vasquez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Dibanni Vasquez enrolled in Medicare?

Yes. Dibanni Vasquez is registered in the Medicare PECOS enrollment system.

What insurance does Dibanni Vasquez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Dibanni Vasquez 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.

When was this NPI record last updated?

The NPPES record for Dibanni Vasquez was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.