Individual provider Active NPI

Vidya Hate', MD

  • Obstetrics & Gynecology Physician
  • Titusville, FL
National Provider Identifier
1043312945
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME51220 Issued in FL
Practice address
250 Harrison Street
Parrish Medical Group
Titusville, FL 32780
Phone
(321) 633-8692
Fax
(321) 268-4922
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME51220 FL Primary

Addresses

Primary practice location

250 Harrison Street
Parrish Medical Group
Titusville, FL 32780

Mailing address

805 Century Medical Dr
Suite C
Titusville, FL 32796-2100
Phone (321) 268-6264

Other identifiers 1

IdentifierTypeStateIssuer
037899200MedicaidFL

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
I20040405001880 FL Practitioner - Obstetrics/Gynecology 1850384983 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME51220FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Sep 24, 2024 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Oct 1, 2002 Accepting new patients
Space Coast Health Centers Inc CurrentSince Sep 7, 2021 Accepting new patients
Florida Department of Health CurrentSince Sep 24, 2024 Accepting new patients

Locations

2575 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 454-7148

250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868

494 N Washington Ave
Titusville, FL 32796
Phone (321) 267-8311

805 Century Medical Dr
Ste C
Titusville, FL 32796
Phone (321) 268-6264

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

951 N Washington Ave
Ste 100
Titusville, FL 32796
Phone (321) 268-6836

1785 Garden St
Titusville, FL 32796
Phone (321) 269-9612

2555 Judge Fran Jamieson Way
Viera, FL 32940
Phone (321) 615-9337

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17832/brand/2/csg/41/fhir/r4
  • Direct secure messaging: vidya.hate.2@17832.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1043312945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CENTURY MEDICAL DR",
            "address_2": "SUITE C",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962100",
            "telephone_number": "321-268-6264",
            "fax_number": "321-268-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HARRISON STREET",
            "address_2": "PARRISH MEDICAL GROUP",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32780",
            "telephone_number": "321-633-8692",
            "fax_number": "321-268-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATE'",
        "first_name": "VIDYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME51220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037899200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.