NPIMap

Individual provider Active NPI

Jeffrey Scott Vasta, M.D.

  • Internal Medicine Physician
  • Trinity, FL
National Provider Identifier
1023097136
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0072377 Issued in FL
Practice address
3633 Little Road
Suite 101
Trinity, FL 34655-1818
Phone
(727) 375-2222
Fax
(866) 244-2335
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME72377 FL
Internal Medicine Physician 207R00000X ME0072377 FL Primary

Addresses

Primary practice location

3633 Little Road
Suite 101
Trinity, FL 34655-1818

Mailing address

3633 Little Rd Ste 101
Trinity, FL 34655-1815
Phone (727) 375-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110830000280 FL Practitioner - Internal Medicine 7315911179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, 314 clinicians

Practice addresses (Care Compare)

3633 Little Rd
Suite 101
Trinity, FL 34655-1815
Phone (372) 375-2222

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

Hospital & facility affiliations

  • TGH Home Care Powered by Vna Florida Home health agency, Trinity, FL, CCN 687192
  • Pinnacle Home Care Home health agency, Oldsmar, FL, CCN 108290
  • Baycare Home Care Inc Home health agency, New Port Richey, FL, CCN 107260
  • Pinnacle Home Care Inc Home health agency, Trinity, FL, CCN 107797
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055
  • HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191
  • Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions14
Removal of nail tissue14
Removal or shaving of skin growth14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0072377FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Associates L L C Internal Medicine CurrentSince May 1, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1306 Seven Springs Blvd
New Prt Rchy, FL 34655
Phone (727) 372-3143

3633 Little Rd
Ste 101
Trinity, FL 34655
Phone (372) 375-2222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJCABD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DJCABD/Endpoint/DJCABD

Organizations & group practices 6

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023097136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 LITTLE RD STE 101",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551815",
            "telephone_number": "727-375-2222",
            "fax_number": "866-244-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 LITTLE ROAD",
            "address_2": "SUITE 101",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551818",
            "telephone_number": "727-375-2222",
            "fax_number": "866-244-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASTA",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72377",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0072377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.