Individual provider Active NPI

Abhijit Vinod Deshmukh, M.D.

  • Radiation Oncology Physician
  • Clermont, FL
National Provider Identifier
1043276231
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME64683 Issued in 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
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 056544 GA
Radiation Oncology Physician 2085R0001X ME64683 FL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050208000417 FL Practitioner - Radiation OncologyPractitioner - Diagnostic Radiology 9537110176 Reassigns benefits to 2 organizations
I20210310000231 SC Practitioner - Radiation Oncology 9537110176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1361 Citrus Tower Blvd
Suite 101
Clermont, FL 34711-1943
Phone (407) 648-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME64683FLMDRadiation Oncology Physician
056544GAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Radiation Therapy Center Radiation Oncology CurrentSince Jan 1, 2021 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 22, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 22, 2022 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 22, 2022 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 22, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 22, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 22, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 22, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 22, 2022 Accepting new patients
Integrated Community Oncology Network LLC Radiation Oncology Past Accepting new patients
Memorial Southside Cancer Center LLC Past Accepting new patients
North Florida Cancer Center Live Oak LLC Radiation Oncology Past Accepting new patients
Central Florida Cancer Institute PA Radiation Oncology 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

725 6th Ave S
Ste 1200
St Petersburg, FL 33701
Phone (727) 553-7355

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

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: adeshmukh21435@direct.watsonclinicad.com

Organizations & group practices 18

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

View all 18

Hospital & facility affiliations 3

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.