NPIMap

Individual provider Active NPI

Mayand Praful Vakil, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Colonial Heights, VA
National Provider Identifier
1194220517
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
0101277151 Issued in VA
Practice address
241 Charles H Dimmock Pkwy Ste 6
Colonial Heights, VA 23834-2915
Phone
(804) 765-5320
Fax
(804) 805-2903
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 0101277151 VA Primary

Addresses

Primary practice location

241 Charles H Dimmock Pkwy Ste 6
Colonial Heights, VA 23834-2915

Mailing address

241 Charles H Dimmock Pkwy Ste 6
Colonial Heights, VA 23834-2915
Phone (804) 765-5320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230905004071 VA Practitioner - Otolaryngology 9830552074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

13700 St Francis Blvd
Suite 302
Midlothian, VA 23114-3222
Phone (804) 281-8303

13710 St Francis Blvd
Midlothian, VA 23114-3267

1510 N 28TH St
Richmond, VA 23223-5311

241 Charles H Dimmock Pkwy
Suite 6
Colonial Heights, VA 23834-2915
Phone (804) 765-5320

40 Medical Park Blvd
Petersburg, VA 23805-9289

511 Belfield Dr
Emporia, VA 23847-1217
Phone (434) 336-1222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101277151VAMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Aug 28, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Aug 28, 2023 Accepting new patients

Locations

241 Charles H Dimmock Pkwy
Ste 6
Colonial Heights, VA 23834
Phone (804) 526-1111

702 N Main St
Emporia, VA 23847
Phone (434) 634-7723

13710 St Francis Blvd
Ste 511
Midlothian, VA 23114
Phone (804) 423-8467

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Organizations & group practices 2

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1194220517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 CHARLES H DIMMOCK PKWY STE 6",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342915",
            "telephone_number": "804-765-5320",
            "fax_number": "804-805-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CHARLES H DIMMOCK PKWY STE 6",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342915",
            "telephone_number": "804-765-5320",
            "fax_number": "804-805-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKIL",
        "first_name": "MAYAND",
        "middle_name": "PRAFUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "VA",
            "license": "0101277151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.