Abhijit Vinod Deshmukh, M.D.
Individual provider Active NPI Radiation Oncology Physician · Clermont, FL
NPI 1043276231 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1043276231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- ME64683 (FL)
- Practice address
- 1361 Citrus Tower Blvd Ste 101
Clermont, FL 34711-1943 - Phone
- (352) 536-8791
- Fax
- (352) 536-8793
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Radiation Oncology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orlando Health Medical Group Inc
Practice addresses (Care Compare)
1361 Citrus Tower Blvd
Suite 101
Clermont, FL 34711-1943
Phone (407) 648-3800
Hospital & facility affiliations
- Orlando Health South Lake Hospital
- Orlando Health
- Orlando Health Bayfront Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050208000417 | FL | Practitioner - Radiation Oncology |
9537110176 | Reassigns benefits to 2 organizations |
| I20210310000231 | SC | Practitioner - Radiation Oncology | 9537110176 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME64683 | FL | MD | Radiation Oncology Physician |
| 056544 | GA | MD | Radiation Oncology Physician |
Practice roles (17 of 19)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Orlando Health Medical Group Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Orlando Health Medical Group Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Georgetown Radiation Therapy Center | Radiation Oncology | Current |
Accepting new patients |
| Marshfield Clinic Inc | Current |
Accepting new patients | |
| Flambeau Hospital Inc | Current |
Accepting new patients | |
| Memorial Hospital Inc | Current |
Accepting new patients | |
| Integrated Community Oncology Network LLC | Radiation Oncology | Past | Accepting new patients |
| Central Florida Cancer Institute PA | Radiation Oncology | Past | Accepting new patients |
| North Florida Cancer Center Live Oak LLC | Radiation Oncology | Past | Accepting new patients |
| Memorial Southside Cancer Center LLC | Past | Accepting new patients |
Locations
1361 Citrus Tower Blvd
Ste 101
Clermont, FL 34711
Phone (352) 242-1366
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
4033 Highway 17
Murrells Inlt, SC 29576
Phone (843) 651-0044
4033 Highway 17
Unit 106
Murrells Inlt, SC 29576
Phone (843) 545-5600
9568 Kings Charter Dr
Ashland, VA 23005
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- adeshmukh21435@direct.watsonclinicad.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 056544 | GA | |
| Radiation Oncology Physician | 2085R0001X | ME64683 | FL | Yes |
Addresses
Primary practice location
1361 Citrus Tower Blvd Ste 101
Clermont, FL 34711-1943
Mailing address
1361 Citrus Tower Blvd Ste 101
Clermont, FL 34711-1943
Phone (352) 536-8791
Other practice location 1
1375 Roberts Dr
Suite 100
Jacksonville Beach, FL 32250-3210
Phone (904) 242-0166
Other practice location 2
7015 A C Skinner Pkwy Bldg 100
Jacksonville, FL 32256-6932
Phone (904) 516-3737
Other practice location 3
40107 Highway 27
Davenport, FL 33837-5901
Phone (407) 599-9899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022731900 | Medicaid | FL |
NPI Registry JSON
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1043276231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1361 CITRUS TOWER BLVD STE 101",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111943",
"telephone_number": "352-536-8791",
"fax_number": "352-536-8793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1361 CITRUS TOWER BLVD STE 101",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111943",
"telephone_number": "352-536-8791",
"fax_number": "352-536-8793"
}
],
"practiceLocations": [
{
"address_1": "1375 Roberts Dr",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Jacksonville Beach",
"state": "FL",
"postal_code": "322503210",
"country_code": "US",
"telephone_number": "904-242-0166",
"fax_number": "904-242-0167",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7015 A C Skinner Pkwy Bldg 100",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322566932",
"country_code": "US",
"telephone_number": "904-516-3737",
"fax_number": "904-516-3738",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40107 Highway 27",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "FL",
"postal_code": "338375901",
"country_code": "US",
"telephone_number": "407-599-9899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESHMUKH",
"first_name": "ABHIJIT",
"middle_name": "VINOD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "GA",
"license": "056544",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME64683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022731900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
- Dentists of Clermont, P.a
- Dentists on Hancock, P.a.
- Navin K Deonarine
- Lucy Dergarabedian
- Wanessa Souza Desa
- Aisling Niamh Desmond
- Eusebio Desrosiers
- Tamara Desue
- Vicki Deutsch
- Alexis Devin
All providers in Clermont, FL · Radiation Oncology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.