Individual provider Active NPI

Marie A Vasher, MD

  • Diagnostic Radiology Physician
  • Sebastian, FL
National Provider Identifier
1104051143
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME110739 Issued in FL
Practice address
13695 US Highway 1
Sebastian, FL 32958
Phone
(772) 581-2001
NPI assigned
May 20, 2009
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 80767 GA
Diagnostic Radiology Physician 2085R0202X ME110739 FL Primary

Addresses

Primary practice location

13695 US Highway 1
Sebastian, FL 32958

Mailing address

10 Carisa Royale CT
Englewood, FL 34223-1892
Phone (786) 423-1834

Other practice location 1

1405 Clifton Rd NE
Radiology Department
Atlanta, GA 30322
Phone (786) 423-1834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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
I20150819009060 FL Practitioner - Diagnostic Radiology 8729393780 Reassigns benefits to 2 organizations
I20181005000003 GA Practitioner - Diagnostic Radiology 8729393780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

10 Carisa Royale CT
Englewood, FL 34223-1892
Phone (904) 399-5550

11 Carisa Royale CT
Englewood, FL 34223-1892
Phone (904) 339-5550

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME110739FLMDDiagnostic Radiology Physician
80767GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Choa Multispecialty, LLC Current Accepting new patients
Choa Hospital Based, LLC CurrentSince Jul 1, 2018 Accepting new patients
Brevard Physician Associates, PLLC Diagnostic Radiology CurrentSince Mar 1, 2016 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

2525 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 873-6900

4511 N Davis Hwy
Ste 1B
Pensacola, FL 32503
Phone (850) 484-8454

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1104051143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CARISA ROYALE CT",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231892",
            "telephone_number": "786-423-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13695 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "772-581-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 Clifton Rd NE",
            "address_2": "Radiology Department",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30322",
            "country_code": "US",
            "telephone_number": "786-423-1834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASHER",
        "first_name": "MARIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "80767",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME110739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.