Organization provider

DE LA VEGA PEDIATRICS, CORP.

General Practice Physician Pediatrics Physician Medicare enrolled

DE LA VEGA PEDIATRICS, CORP. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1790066983, based in Fort Myers, FL. The organization lists 2 taxonomy classifications, with General Practice Physician recorded as primary.

Getting there

The practice address on file is 12781 WORLD PLAZA LN STE 1, Fort Myers, FL 33907. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12781 WORLD PLAZA LN STE 1, Fort Myers, FL 33907 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ME101292 FL General Practice Physician primary
ME101292 FL Pediatrics Physician

This provider holds licence ME101292 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
9234301987
Enrollment ID
O20111003000106

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What General Practice covers

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
Allopathic & Osteopathic Physicians General Practice

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208D00000X General Practice Physician ME101292 FL primary
208000000X Pediatrics Physician ME101292 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1790066983 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateSep 1, 2011
Last updatedMar 25, 2023
StatusActive
Practice address 12781 WORLD PLAZA LN STE 1
Fort Myers, FL 33907
(239) 277-5877
Fax (239) 277-1354
The last update on file is Mar 25, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1790066983 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 9 0 0 6 6 9 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 9 0 0 6 3 9 7

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1790066983?
NPI 1790066983 is the National Provider Identifier assigned to DE LA VEGA PEDIATRICS, CORP. in Fort Myers, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice Physician cover?
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
How do I contact DE LA VEGA PEDIATRICS, CORP.?
The phone number on file with NPPES is (239) 277-5877, last updated Mar 25, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does DE LA VEGA PEDIATRICS, CORP. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1790066983 a valid number?
Yes. 1790066983 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.