Individual provider Active NPI

Vakesh Rajani, M.D.

  • Internal Medicine Physician
  • Safety Harbor, FL
National Provider Identifier
1013962299
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 77964 Issued in FL
Practice address
1840 Mease Dr
Suite 401B
Safety Harbor, FL 34695-6602
Phone
(727) 328-4633
Fax
(727) 726-0529
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 77964 FL Primary

Addresses

Primary practice location

1840 Mease Dr
Suite 401B
Safety Harbor, FL 34695-6602

Mailing address

PO Box 25636
Tampa, FL 33622-5636
Phone (727) 328-4633

Other identifiers 3

IdentifierTypeStateIssuer
256473400MedicaidFL
P01192810OtherFLRAILROAD MEDICARE
110196722OtherFLRAILROAD MEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100114000083 FL Practitioner - Internal Medicine 8224179163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 77964FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Apr 26, 2022 Accepting new patients

Locations

2812 Saint Marks Dr
Dunedin, FL 34698
Phone (727) 328-4633

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

1840 Mease Dr
Ste 401B
Safety Harbor, FL 34695
Phone (727) 328-4633

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1013962299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25636",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336225636",
            "telephone_number": "727-328-4633",
            "fax_number": "727-726-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 401B",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-328-4633",
            "fax_number": "727-726-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJANI",
        "first_name": "VAKESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 77964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256473400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01192810",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "110196722",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.