AUSTIN VAN VLIET (MD) – Internal Medicine Physician, NPI 1023695616

AUSTIN VAN VLIET (MD) is a healthcare provider. based in Hudson, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME166697 (FL). The NPI Number for AUSTIN VAN VLIET (MD) is 1023695616

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
AUSTIN VAN VLIET (MD)
NPI
1023695616
Phone
(727) 619-0900
Address
13740 OFFICE PARK CT STE B
Enumeration Date
28 March 2021
Last Update Date
9 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7278610237
Graduation Year
2021 (5 years ago)
PAC ID
1355746124
Group Practice PAC ID
2264595941
Professional Enrollment ID
I20240726002778
Address ID
FL346677145HU13740CTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for AUSTIN VAN VLIET (MD)

  • 13740 OFFICE PARK CT STE B

    HUDSON, FL 346677145

    Phone: (727) 619-0900

    Type: Mailing

  • 22500 SHORESIDE DR

    LAND O LAKES, FL 346396614

    Phone: (813) 610-6176

    Type: Mailing

  • 14000 FIVAY RD FL 34667

    HUDSON, FL 346677103

    Phone: (727) 819-2966

    Fax: (727) 819-2928

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-07-26 • Largest payer in this snapshot: Indivior Inc. ($38).

Total Amount

$142

General + Research + Ownership

Payments

7

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240726002778IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34667)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264595941View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
General Surgery, Surgical OncologyTX
O B S T E T R I C S/ G Y N E C O L O G YFL
Nephrology, Internal MedicineFL
Family PracticeAK
Nurse PractitionerFL
Physician AssistantFL

Reviews

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Frequently asked questions

Can I use this page to confirm AUSTIN VAN VLIET (MD)'s NPI?
Yes. AUSTIN VAN VLIET (MD) is listed with NPI 1023695616 in the public NPI dataset.
Does CMS list AUSTIN VAN VLIET (MD) as active?
Yes — AUSTIN VAN VLIET (MD) is active in the NPI listing used on this page.
What is AUSTIN VAN VLIET (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for AUSTIN VAN VLIET (MD) here. Clinical services aligned with this taxonomy classification.
Does AUSTIN VAN VLIET (MD) list a practice location?
Patients near Hudson, Florida may find AUSTIN VAN VLIET (MD) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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