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

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 3

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

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 (2,171 clinicians)

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 Hospital · Clermont, FL · CCN 100051
  • Orlando Health Hospital · Orlando, FL · CCN 100006
  • Orlando Health Bayfront Hospital Hospital · Saint Petersburg, FL · CCN 100032

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100 (group)
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 IDStateProvider typePAC IDDetails
I20050208000417 FL Practitioner - Radiation Oncology
Practitioner - Diagnostic Radiology
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

LicenseStateTypeSpecialty
ME64683FLMDRadiation Oncology Physician
056544GAMDRadiation Oncology Physician

Practice roles (17 of 19)

OrganizationSpecialtyStatusNew patients
Beaver Dam Community Hospitals Inc Current
since Aug 22, 2022
Accepting new patients
Orlando Health Medical Group Inc Current
since Aug 1, 2024
Accepting new patients
MCHS Hospitals Inc Current
since Aug 22, 2022
Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Lakeview Medical Center Inc of Rice Lake Current
since Aug 22, 2022
Accepting new patients
Beaver Dam Community Hospitals Inc Current
since Aug 22, 2022
Accepting new patients
Orlando Health Medical Group Inc Current
since Aug 1, 2024
Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc Current
since Aug 22, 2022
Accepting new patients
Georgetown Radiation Therapy Center Radiation Oncology Current
since Jan 1, 2021
Accepting new patients
Marshfield Clinic Inc Current
since Aug 22, 2022
Accepting new patients
Flambeau Hospital Inc Current
since Aug 22, 2022
Accepting new patients
Memorial Hospital Inc Current
since Aug 22, 2022
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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
022731900MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 16, 2024.

{
    "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

All providers in Clermont, FL · Radiation Oncology Physician in Florida

Sources for this page

Verify at the official NPI Registry.