Active NPI
Vijay Vaghasiya, MD
- Internal Medicine Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 150165
- Practice address
- 206 N Florida Ave
Lakeland, FL 33801-4902 - Phone
- (863) 209-7003
- Fax
- (863) 274-3520
- NPI assigned
- May 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 150165 | FL | Primary |
Addresses
Primary practice location
206 N Florida Ave
Lakeland, FL 33801-4902
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117
Other practice location 1
143 N Oakwood Ave
Brandon, FL 33510-4629
Phone (813) 734-8939
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | das | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
143 N Oakwood Ave
Brandon, FL 33510-4629
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150165 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Brandon Medical Care LLC | Internal Medicine | Current | Accepting new patients |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients |
Locations
143 N Oakwood Ave
Brandon, FL 33510
Phone (813) 685-4617
206 N Florida Ave
Lakeland, FL 33801
Phone (863) 209-7003
4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
Networks
- FL PPO
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- vijayvaghasiya@cit.ssdirect.aprima.com
Organizations & group practices 3
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.
-
dba Brandon Medical Care
- Internal Medicine Physician
- Brandon, FL
- NPI 1548818073
-
- Specialist
- Miami Gardens, FL
- NPI 1881055366
-
- Specialist
- Tampa, FL
- NPI 1700393881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1023507860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695710",
"telephone_number": "305-628-6117",
"fax_number": "305-393-5989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338014902",
"telephone_number": "863-209-7003",
"fax_number": "863-274-3520"
}
],
"practiceLocations": [
{
"address_1": "143 N Oakwood Ave",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335104629",
"country_code": "US",
"telephone_number": "813-734-8939",
"fax_number": "813-933-8247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAGHASIYA",
"first_name": "VIJAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-08",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "150165",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "das",
"affiliation": "N",
"endpointDescription": "emr",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "143 N Oakwood Ave",
"city": "Brandon",
"state": "FL",
"country_code": "US",
"postal_code": "335104629",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.