Vikas Pattu, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME121932 Issued in FL

Practice address

880 Airport Blvd
Melbourne, FL 32901-2909

Phone

(321) 722-5200

NPI assigned

Apr 25, 2012

Last updated

Apr 28, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Circles of Care, Inc.

  • Psychiatric Hospital
  • Melbourne, FL
  • NPI 1518234830
  NPD (past)

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1205194420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013122",
            "telephone_number": "321-722-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 AIRPORT BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012909",
            "telephone_number": "321-722-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTU",
        "first_name": "VIKAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME121932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015266100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisel Patrylow
• Kishore R. Patsamatla, MD
• Diana Elizabeth Patterson, APRN, FNP-C
• Erica Patton, NNP-BC
• Kelly Ann Patton
• Paul G Rousseau OD PA
• Paula Deforest PHD LLC (Paula DeForest PhD)
• Leigh Ann Pauley, DC
• Ronda Michele Paulick
• Rosemarie Padama Pavia, APRN

• Psychiatry Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.