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VICTOR E. DE LOACH M.D.
NPI 1982693123
General Practice in Sarasota, FL

Active since October 20, 2005PECOS Enrolled
5045 FRUITVILLE RD UNIT 123B, SARASOTA, FL 34232(772) 203-4613(727) 290-4383 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 22, 2021, Jun 25, 2020, Aug 23, 2019 and 2 more (5 updates tracked since 2018).

About Victor E. De Loach M.d. NPPES

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

VICTOR E. DE LOACH M.D. (NPI 1982693123) is an individual general practice provider in Sarasota, Florida, licensed in Florida (ME78151) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982693123
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameVICTOR E. DE LOACHCredential: M.D.
Location Address5045 FRUITVILLE RD UNIT 123BSarasota, FL 34232-2269
Mailing Address782 Plymouth St Unit 12Holbrook, MA 02343-1952
Phone(772) 203-4613
Fax(727) 290-4383
Sole ProprietorNo
Enumeration DateOctober 20, 2005
Last NPPES UpdateJune 22, 20215 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1982693123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME78151
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD.19935 (AL)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 78151 (FL)
5045 FRUITVILLE RD UNIT 123B, Sarasota, FL 34232
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Other Identifiers 6

Medicaid022825500FL
Medicaid131855AL
Medicaid132989AL
Other5474634FL · Aetna
Other58949FL · Florida Blue
Other266278FL · Avmed

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victor E. De Loach M.d. 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 Victor De Loach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Family Care, LLC
324 mi
Primary Care
2445 MURPHY MILL RD
Dothan, AL 36303
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
NPI 1528404613 (334) 677-6001
Quality Of Life Health Services, Inc
385 mi
Federally Qualified Health Center (FQHC)
1502 11TH AVE
Phenix City, AL 36867
  • Reassigned Medicare billing, Alabama enrollment
  • 124 clinicians in this Medicare group
NPI 1831568237 (334) 560-5393

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

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 Victor De Loach's NPI number?

The NPI number for Victor De Loach is 1982693123. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Victor De Loach located?

Victor De Loach practices at 5045 Fruitville Rd Unit 123B, Sarasota, FL 34232. The listed phone number is (772) 203-4613.

What is Victor De Loach's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Victor De Loach enrolled in Medicare?

Yes. Victor De Loach is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Victor De Loach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victor De Loach reassigns Medicare benefits to 2 organizations: American Family Care, LLC (Dothan, AL) and Quality Of Life Health Services, Inc (Phenix City, AL). 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 Victor De Loach'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 Victor De Loach was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.