DR. WILLIAM RODRIGO VIVAS (DPM) – Foot Surgery Podiatrist, NPI 1053467993

DR. WILLIAM RODRIGO VIVAS (DPM) is a healthcare provider. based in Sanford, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO 1733 (FL). The NPI Number for DR. WILLIAM RODRIGO VIVAS (DPM) is 1053467993

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM RODRIGO VIVAS (DPM)
NPI
1053467993
Phone
(407) 322-8645
Address
4930 E LAKE MARY BLVD
Enumeration Date
25 January 2007
Last Update Date
3 September 2020

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
40732286452011
Graduation Year
1985 (41 years ago)
PAC ID
1052508249
Group Practice PAC ID
3870519234
Professional Enrollment ID
I20101214000998
Address ID
FL327715003SA4930XBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

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Provider Addresses for DR. WILLIAM RODRIGO VIVAS (DPM)

  • Lake Mary Boulevard, Lake Mary, Sanford, Seminole County, Florida, 32773, United States

    SANFORD, FL 327715003

    Phone: (407) 322-8645

    Fax: (407) 330-5074

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $143.

Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Insulet Corporation ($101).

Total Amount

$143

General + Research + Ownership

Payments

9

Total payment records

General Amount

$143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-12-14

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
I20101214000998IPodiatryFLTBD

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 32771)

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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: 3870519234View full group profile
NameSpecialtyState
Family PracticeFL
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do I look up DR. WILLIAM RODRIGO VIVAS (DPM) by NPI?
Use NPI 1053467993 when you need to reference DR. WILLIAM RODRIGO VIVAS (DPM) in forms, claims, or directories.
Does this profile mean DR. WILLIAM RODRIGO VIVAS (DPM) is currently active?
Yes — DR. WILLIAM RODRIGO VIVAS (DPM) appears active in the national provider directory.
What does DR. WILLIAM RODRIGO VIVAS (DPM) treat or focus on?
Patients typically see DR. WILLIAM RODRIGO VIVAS (DPM) under the specialty Foot Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. WILLIAM RODRIGO VIVAS (DPM)?
The snapshot lists Sanford, Florida for DR. WILLIAM RODRIGO VIVAS (DPM); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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