Individual provider Active NPI

Sachin Sudmir Vaikunth, M.D.

  • Surgery Physician
  • New Port Richey, FL
National Provider Identifier
1023217825
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME118760 Issued in FL
Practice address
6633 Forest Ave Ste 205
New Port Richey, FL 34653-2612
Phone
(727) 375-2849
Fax
(727) 266-4915
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD47892 TN
Surgery Physician 208600000X ME118760 FL Primary

Addresses

Primary practice location

6633 Forest Ave Ste 205
New Port Richey, FL 34653-2612

Mailing address

6633 Forest Ave Ste 205
New Port Richey, FL 34653-2612
Phone (727) 375-2849

Other identifiers 1

IdentifierTypeStateIssuer
1526000MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sachin.Vaikunth@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

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
I20141023000865 FL Practitioner - General Surgery 9638368020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Vanderbilt University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2044 Trinity Oaks Blvd
Suite 125
Trinity, FL 34655-4405
Phone (727) 372-2501

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

6600 Madison St
Suite 2
New Port Richey, FL 34652-1971
Phone (727) 815-7207

6633 Forest Ave
New Port Richey, FL 34653-2612

Hospital & facility affiliations

  • Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)23
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD47892TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Surgery Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Oct 22, 2021 Accepting new patients
Florida Hospital Physician Group Inc Surgery CurrentSince Sep 1, 2014 Accepting new patients
Adventhealth Primary Care Network Inc Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Bldg 2ND
Clearwater, FL 33759

2995 Drew St
Fl 3
Clearwater, FL 33759

6633 Forest Ave
Ste 205
New Port Richey, FL 34653
Phone (727) 375-2849

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

6919 N Dale Mabry Hwy
Ste 200
Tampa, FL 33614
Phone (813) 929-5474

3615 W Hamilton Ave
Tampa, FL 33614
Phone (813) 977-0281

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2102 Trinity Oaks Blvd
Ste 202
Trinity, FL 34655
Phone (727) 462-2131

Interoperability endpoints

  • Direct secure messaging: sachin.vaikunth@direct.mybaycare.org

Organizations & group practices 4

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 2

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1023217825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 FOREST AVE STE 205",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346532612",
            "telephone_number": "727-375-2849",
            "fax_number": "727-266-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 FOREST AVE STE 205",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346532612",
            "telephone_number": "727-375-2849",
            "fax_number": "727-266-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIKUNTH",
        "first_name": "SACHIN",
        "middle_name": "SUDMIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD47892",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME118760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526000",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sachin.Vaikunth@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew Street",
            "address_2": "East Bldg 2nd Floor",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.