Vinayak V Purandare, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

207RN0300X Issued in FL

Practice address

305 Memorial Medical Parkway, Suite 507
Daytona Beach, FL 32117

Phone

(386) 672-8595

Fax

(386) 677-4987

NPI assigned

Oct 3, 2005

Sex

Male

Sole proprietor

No

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

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: vpurandare59085@adventhealth.direct-ci.com

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.

• Nephrology Consultants PA

  • Specialist
  • Daytona Beach, FL
  • NPI 1619900131
  NPD
• Daytona Beach Vascular Access, LLC

  • Ambulatory Surgical Clinic/Center
  • Daytona Beach, FL
  • NPI 1437841152
  NPD (past)
• Volusia-Flagler Vascular Center LLC

  • Medical Specialty Clinic/Center
  • Daytona Beach, FL
  • NPI 1700119724
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1265429500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PARKWAY, SUITE 507",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-672-8595",
            "fax_number": "386-677-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PARKWAY, SUITE 507",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-672-8595",
            "fax_number": "386-677-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURANDARE",
        "first_name": "VINAYAK",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "207RN0300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048136000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets, Inc.
• Aaron Puebla, MD
• Maria C Puentes, ARNP
• Hollan Pugh, LMHC
• Haylee Nicole Puller
• Theresa Ann Purcell, ARNP-C
• Crystal Purple, PA-C
• Vadim Purygin, MD
• Hoon Pyon
• Ozair Kamran Qazi, MD

• Nephrology Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.