Individual provider Active NPI

Vijayarama R Vegesna, MD

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1083877112
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME109620 Issued in FL
Practice address
655 W 8TH St
Cc262
Jacksonville, FL 32209-6511
Phone
(904) 244-3850
Fax
(904) 244-4799
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME109620 FL Primary

Addresses

Primary practice location

655 W 8TH St
Cc262
Jacksonville, FL 32209-6511

Mailing address

5410 Maryland Way Ste 300
Brentwood, TN 37027-5339
Phone (615) 371-5744

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
I20110722000516 FL Practitioner - HospitalistPractitioner - Internal Medicine 2567630205 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians of Florida VI LLCGroup PAC ID 1759802333, 141 clinicians

Practice addresses (Care Compare)

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273
Phone (904) 383-1000

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-3850

Hospital & facility affiliations

  • Uf Health Home Care - Jacksonville Home health agency, Jacksonville, FL, CCN 107125
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Aug 1, 2011 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Aug 1, 2011 Accepting new patients
Sound Physicians of Florida VI LLC Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

655 W 8th St
#262
Jacksonville, FL 32209
Phone (904) 244-3850

15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000

655 W 8th St
Ste CC262
Jacksonville, FL 32209

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

3100 E Fletcher Ave
#C
Tampa, FL 33613

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: vvegesna54441@direct.shands.ufl.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1083877112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275339",
            "telephone_number": "615-371-5744",
            "fax_number": "888-241-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST",
            "address_2": "CC262",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-244-3850",
            "fax_number": "904-244-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGESNA",
        "first_name": "VIJAYARAMA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME109620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.