DR. VATSAL M LADIA MD
NPI 1831476688
Internal Medicine - Clinical Cardiac Electrophysiology in Winter Park, FL

Active since November 08, 2011PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
1605 W FAIRBANKS AVE, WINTER PARK, FL 32789(407) 845-8356(407) 845-8357 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2024, Mar 19, 2019 (2 updates tracked since 2019).

About Dr. Vatsal M Ladia Md NPPES

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

DR. VATSAL M LADIA MD (NPI 1831476688) is an individual clinical cardiac electrophysiology provider in Winter Park, Florida, licensed in Florida (ME169841) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831476688
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. VATSAL M LADIACredential: MD
Location Address1605 W FAIRBANKS AVEWinter Park, FL 32789-4603
Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5452 · (480) 301-8000
Fax(407) 845-8357
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 8, 2011
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
NPI 1831476688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Licenses Licensed in FL · ME169841 Licensed in AZ · 56309
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
1605 W FAIRBANKS AVE, Winter Park, FL 32789

Secondary Practice Locations 2

Location 1325 N State Of Franklin RdJohnson City, TN 37604-6056 · Phone (423) 439-6283
Location 213400 E Shea BlvdScottsdale, AZ 85259-5452 · Phone (480) 301-8000

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. Vatsal M Ladia Md 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 ID7113275264
PECOS Enrollment IDI20241231000295
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 35

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,598 services945 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
455 services171 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
362 services134 patients
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
360 services56 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
303 services251 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
205 services205 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 Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32789 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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physician Assistant
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Anesthesiology
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Internal Medicine (Cardiovascular Disease)
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Physician Assistant
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Neurological Surgery
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Nurse Practitioner
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Nurse Practitioner (Gerontology)
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789
Physician Assistant (Surgical)
1605 W FAIRBANKS AVE
WINTER PARK, FL 32789

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 Vatsal Ladia's NPI number?

The NPI number for Vatsal Ladia is 1831476688. It was assigned to this individual provider in the NPPES registry on November 8, 2011.

Where is Vatsal Ladia located?

Vatsal Ladia practices at 1605 W Fairbanks Ave, Winter Park, FL 32789. The listed phone number is (407) 845-8356.

What is Vatsal Ladia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Vatsal Ladia enrolled in Medicare?

Yes. Vatsal Ladia 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 Vatsal Ladia accept?

Health plans from First Choice Next, 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 and 1 other insurer list Vatsal Ladia 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 Vatsal Ladia affiliated with any hospitals?

According to CMS data, Vatsal Ladia is affiliated with Adventhealth Orlando and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Vatsal Ladia was last updated on December 17, 2024. 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.