DR. AGUSTIN VANONI M.D
NPI 1144561184
General Practice in Lakeland, FL
About Dr. Agustin Vanoni M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AGUSTIN VANONI M.D (NPI 1144561184) is an individual general practice provider in Lakeland, Florida, licensed in Florida (ACN1315) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lakeland, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Agustin Vanoni 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.
Medicare Billing Reassignments
2Medicare enrollment records show Agustin Vanoni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Davenport, FL 33837
- Reassigned Medicare billing, Florida enrollment
- 66 clinicians in this Medicare group
Aibonito, PR 00705
- Reassigned Medicare billing, Puerto Rico enrollment
- 205 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Agustin Vanoni's NPI number?
The NPI number for Agustin Vanoni is 1144561184. It was assigned to this individual provider in the NPPES registry on March 14, 2013.
Where is Agustin Vanoni located?
Agustin Vanoni practices at 4729 Us Highway 98 S, Lakeland, FL 33812. The listed phone number is (863) 646-9663.
What is Agustin Vanoni's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Agustin Vanoni enrolled in Medicare?
Yes. Agustin Vanoni 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.
Which organizations bill Medicare for Agustin Vanoni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Agustin Vanoni reassigns Medicare benefits to 2 organizations: Medical Home Alliance LLC (Davenport, FL) and Mennonite General Hospital Inc (Aibonito, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Agustin Vanoni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Agustin Vanoni was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Dr. Agustin Vanoni, M.D · NPI 1144561184
General Practice physician in Lakeland, Florida. Individual provider, active in the CMS NPPES registry since March 14, 2013.
## Identity
- **NPI:** 1144561184 (Entity type: Individual)
- **Enumerated:** March 14, 2013
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** ACN1315 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4729 US HIGHWAY 98 S, Lakeland, FL 33812-4323
- **Phone:** (863) 646-9663
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Medical Home Alliance LLC (NPI 1740527811, Davenport, FL); Mennonite General Hospital Inc (NPI 1043347768, Aibonito, PR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** April 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1144561184) · Data from the CMS NPPES public registry.