NPIMap

Individual provider Active NPI

Jaideep Hoskote, M.D.

  • Nephrology Physician
  • Palm Coast, FL
National Provider Identifier
1154318046
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME87751 Issued in FL
Practice address
120 Cypress Edge Dr Ste 208
Palm Coast, FL 32164-8454
Phone
(386) 586-4460
Fax
(386) 586-4461
NPI assigned
Oct 5, 2005
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME87751 FL Primary

Addresses

Primary practice location

120 Cypress Edge Dr Ste 208
Palm Coast, FL 32164-8454

Mailing address

120 Cypress Edge Dr Ste 208
Palm Coast, FL 32164-8454
Phone (386) 586-4460

Other identifiers 7

IdentifierTypeStateIssuer
000000559883OtherKYANTHEM/BCBS
0-505-554-6OtherECFMG
ME87751OtherFLFL LICENSE
6433932800MedicaidKY
G86486OtherFLUPIN
33932OtherKYLICENSE
267203100MedicaidFL

Other names 1

  • Dr. Jaideep H Chakrapani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081113000576 FL Practitioner - NephrologyPractitioner - Internal Medicine 2961503495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Consultants PAGroup PAC ID 6608849468, 2 clinicians
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

544 Health Blvd
Daytona Beach, FL 32114-1492
Phone (386) 258-6522

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87751FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Flagler Inc. CurrentSince Jun 6, 2010 Accepting new patients
Nephrology Consultants PA CurrentSince Jul 1, 2012 Accepting new patients
Memorial Hospital Flagler Inc CurrentSince Jun 6, 2010 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Nov 4, 2024 Accepting new patients
Adventhealth Primary Care Network Inc Past Accepting new patients
Baptist Health Deaconess Madisonville Inc Past Accepting new patients
Daytona Beach Nephrology LLC Nephrology Past Accepting new patients
East Coast Nephrology Associates LLC Nephrology PastSince Jan 1, 2003 Accepting new patients

Locations

544 Health Blvd
Daytona Beach, FL 32114
Phone (386) 258-6522

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

120 Cypress Edge Dr
Ste 102
Palm Coast, FL 32164
Phone (386) 586-4280

120 Cypress Edge Dr
Ste 201
Palm Coast, FL 32164
Phone (386) 231-4017

120 Cypress Edge Dr
Ste 208
Palm Coast, FL 32164
Phone (386) 231-3599

120 Cypress Edge Dr
Ste 210
Palm Coast, FL 32164
Phone (386) 445-4750

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20431/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHAFAD
  • Direct secure messaging: jhoskote57883@adventhealth.direct-ci.com

Organizations & group practices 8

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 12

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1154318046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CYPRESS EDGE DR STE 208",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648454",
            "telephone_number": "386-586-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CYPRESS EDGE DR STE 208",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648454",
            "telephone_number": "386-586-4460",
            "fax_number": "386-586-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSKOTE",
        "first_name": "JAIDEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME87751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "000000559883",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "0-505-554-6",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ME87751",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6433932800",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G86486",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "33932",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267203100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIDEEP",
            "last_name": "CHAKRAPANI",
            "middle_name": "H",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.