DR. ZAREEN VAGHAIWALLA M.D.
NPI 1144674961
Internal Medicine - Rheumatology in Orlando, FL

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment
80.11/100
CMS Quality Rating
2501 N ORANGE AVE STE 402, ORLANDO, FL 32804(407) 894-8696(407) 234-2310 Get Directions Write a Review

NPPES record last updated: December 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2024, Aug 1, 2022, Jul 9, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Zareen Vaghaiwalla M.d. NPPES

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

DR. ZAREEN VAGHAIWALLA M.D. (NPI 1144674961) is an individual rheumatology provider in Orlando, Florida, licensed in Florida (ME148975) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1144674961
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. ZAREEN VAGHAIWALLACredential: M.D.
Location Address2501 N ORANGE AVE STE 402Orlando, FL 32804-4674
Mailing Address1324 Lakeland Hills BlvdLakeland, FL 33805-4543 · (863) 687-1100
Fax(407) 234-2310
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 18, 2016
Last NPPES UpdateDecember 8, 20246 updates tracked since enumeration
NPPES CertifiedDecember 8, 2024
NPI 1144674961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in FL · ME148975 Licensed in FL · TRN23775
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN23775 (FL)
2501 N ORANGE AVE STE 402, Orlando, FL 32804

Accepted 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. Zareen Vaghaiwalla 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 ID7719271428
PECOS Enrollment IDI20210617003205
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 10

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
214 services118 patients
Red blood cell sedimentation rate, to detect inflammation, automated 85652
The Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.
148 services61 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
146 services65 patients
Measurement c-reactive protein for detection of infection or inflammation 86140
C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.
143 services59 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
125 services53 patients
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.
74 services53 patients

Hospital Affiliations CMS Care Compare 2

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

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

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32804 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.

80.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.29
Promoting Interoperability97
Improvement Activities40
Cost64.85

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Rheumatology)
2501 N ORANGE AVE STE 402
ORLANDO, FL 32804
Nurse Practitioner (Gerontology)
2501 N ORANGE AVE STE 402
ORLANDO, FL 32804
Internal Medicine (Rheumatology)
2501 N ORANGE AVE STE 402
ORLANDO, FL 32804
Nurse Practitioner (Gerontology)
2501 N ORANGE AVE STE 402
ORLANDO, FL 32804
Nurse Practitioner (Family)
2501 N ORANGE AVE STE 402
ORLANDO, FL 32804
Nurse Practitioner (Acute Care)
2501 N ORANGE AVE STE 402
ORLANDO, FL 32804
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2501 N ORANGE AVE STE 402
ORLANDO, FL 32804
Internal Medicine (Rheumatology)
2501 N ORANGE AVE STE 402
ORLANDO, FL 32804

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 Zareen Vaghaiwalla's NPI number?

The NPI number for Zareen Vaghaiwalla is 1144674961. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Zareen Vaghaiwalla located?

Zareen Vaghaiwalla practices at 2501 N Orange Ave Ste 402, Orlando, FL 32804. The listed phone number is (407) 894-8696.

What is Zareen Vaghaiwalla's specialty?

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

Is Zareen Vaghaiwalla enrolled in Medicare?

Yes. Zareen Vaghaiwalla 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 Zareen Vaghaiwalla 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 Zareen Vaghaiwalla 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 Zareen Vaghaiwalla affiliated with any hospitals?

According to CMS data, Zareen Vaghaiwalla is affiliated with Adventhealth Orlando and Adventhealth Waterman.

When was this NPI record last updated?

The NPPES record for Zareen Vaghaiwalla was last updated on December 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.