Individual provider Active NPI

Akash Chandawarkar, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Dunedin, FL
National Provider Identifier
1104243435
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME157489 Issued in FL
Practice address
3129 Alternate 19
Dunedin, FL 34698-1503
Phone
(727) 400-4768
Fax
(727) 408-5197
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X ME157489 FL Primary

Addresses

Primary practice location

3129 Alternate 19
Dunedin, FL 34698-1503

Mailing address

3129 Alternate 19
Dunedin, FL 34698-1503
Phone (727) 400-4768

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
I20221012000091 FL Practitioner - Plastic and Reconstructive Surgery 5890910178 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME157489FLMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LS Medical LLC Single Specialty CurrentSince Sep 1, 2023 Accepting new patients

Locations

3129 Alternate 19
Dunedin, FL 34698
Phone (727) 269-5618

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1104243435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 ALTERNATE 19",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346981503",
            "telephone_number": "727-400-4768",
            "fax_number": "727-408-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 ALTERNATE 19",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346981503",
            "telephone_number": "727-400-4768",
            "fax_number": "727-408-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDAWARKAR",
        "first_name": "AKASH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME157489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.