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DR. VIVIAN MEDINA D.D.S.
NPI 1376566521
Dentist - General Practice in Tampa, FL

Active since July 26, 2006PECOS Enrolled
3630 MADACA LN, TAMPA, FL 33618(813) 264-0286(813) 960-4667 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vivian Medina D.d.s. NPPES

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

DR. VIVIAN MEDINA D.D.S. (NPI 1376566521) is an individual general practice provider in Tampa, Florida, licensed in Florida (DN-12750) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376566521
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. VIVIAN MEDINACredential: D.D.S.
Location Address3630 MADACA LNTampa, FL 33618-2057
Mailing Address3630 Madaca LnTampa, FL 33618-2057 · (813) 264-0286 · Fax (813) 960-4667
Phone(813) 264-0286
Fax(813) 960-4667
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateDecember 5, 2011
✔ NPI 1376566521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN-12750
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3630 MADACA LN, Tampa, FL 33618
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Other Identifiers 1

Medicaid073649000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Dr. Vivian Medina D.d.s. 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 33618 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 2

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

VIVIAN MEDINA DDS PA
Dentist
3630 MADACA LN
TAMPA, FL 33618
Hillsborough County (813) 264-0286
RESTORATIVE SLEEP SOLUTIONS
Durable Medical Equipment & Medical Supplies
3630 MADACA LN
TAMPA, FL 33618
Hillsborough County (813) 264-0286

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 Vivian Medina's NPI number?

The NPI number for Vivian Medina is 1376566521. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Vivian Medina located?

Vivian Medina practices at 3630 Madaca Ln, Tampa, FL 33618. The listed phone number is (813) 264-0286.

What is Vivian Medina's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Vivian Medina enrolled in Medicare?

Yes. Vivian Medina is registered in the Medicare PECOS enrollment system.

What insurance does Vivian Medina accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 4 other insurers list Vivian Medina 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 Vivian Medina was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.