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MARA DE LA VEGA MD
NPI 1750335147
Family Medicine in Lake Mary, FL

Active since May 20, 2006PECOS Enrolled
1307 S. INTERNATIONAL PARKWAY, SUITE 2091, LAKE MARY, FL 32806(407) 771-0404(407) 771-0405 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mara De La Vega Md NPPES

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

MARA DE LA VEGA MD (NPI 1750335147) is an individual family medicine provider in Lake Mary, Florida, licensed in Florida (ME73219) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750335147
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARA DE LA VEGACredential: MD
Location Address1307 S. INTERNATIONAL PARKWAY, SUITE 2091Lake Mary, FL 32806-2916
Mailing Address1307 S. International Parkway, Suite 2091Lake Mary, FL 32806-2916 · (407) 771-0404 · Fax (407) 771-0405
Phone(407) 771-0404
Fax(407) 771-0405
Sole ProprietorNo
Enumeration DateMay 20, 2006
Last NPPES UpdateDecember 8, 2008
✔ NPI 1750335147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME73219
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1307 S. INTERNATIONAL PARKWAY, Lake Mary, FL 32806
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Other Identifiers 5

Other080140852Railroad Medicare
Medicare ID-Type Unspecified47060YFL
Medicare ID-Type Unspecified258500600FL
Other47060FL · Bcbs
Medicare UPING37546

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mara De La Vega Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mara De La Vega reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Florida Inpatient Medicine LLC
1.3 mi
Internal Medicine
525 TECHNOLOGY PARK STE 109
Lake Mary, FL 32746
  • Reassigned Medicare billing, Florida enrollment
  • 329 clinicians in this Medicare group
NPI 1649228859 (407) 647-2346
North Brevard Medical Support, Inc
36 mi
Multi-Specialty
250 HARRISON ST
Titusville, FL 32780
  • Reassigned Medicare billing, Florida enrollment
  • 184 clinicians in this Medicare group
NPI 1609834886 (321) 268-6868

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers26 claims26 services$67.18 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers19 claims19 services$190.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mara De La Vega's NPI number?

The NPI number for Mara De La Vega is 1750335147. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Mara De La Vega located?

Mara De La Vega practices at 1307 S. International Parkway Suite 2091, Lake Mary, FL 32806. The listed phone number is (407) 771-0404.

What is Mara De La Vega's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mara De La Vega enrolled in Medicare?

Yes. Mara De La Vega is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mara De La Vega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mara De La Vega reassigns Medicare benefits to 2 organizations: Central Florida Inpatient Medicine LLC (Lake Mary, FL) and North Brevard Medical Support, Inc (Titusville, FL). 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 Mara De La Vega'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 Mara De La Vega was last updated on December 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.