Individual provider Active NPI

Priyanka Vyas, MD

  • Pediatrics Physician
  • Gainesville, FL
National Provider Identifier
1306050232
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME116979 Issued in FL
Practice address
100 SW 75TH St Ste 101
Gainesville, FL 32607-5775
Phone
(352) 559-8911
Fax
(352) 559-8877
NPI assigned
May 10, 2007
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME116979 FL Primary
Pediatrics Physician 208000000X E-6560 AR
Pediatrics Physician 208000000X P3831 TX

Addresses

Primary practice location

100 SW 75TH St Ste 101
Gainesville, FL 32607-5775

Mailing address

6910 NW 52ND LN
Gainesville, FL 32653-3954
Phone (352) 559-8911

Other identifiers 1

IdentifierTypeStateIssuer
010376700MedicaidFL

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
I20131203001227 FL Practitioner - Pediatric Medicine 9931223914 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-6560ARMDPediatrics Physician
ME116979FLMDPediatrics Physician
P3831TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Oct 19, 2013 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Oct 19, 2013 Accepting new patients
Milestones Pediatrics LLC Pediatrics CurrentSince Jul 21, 2018 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

100 SW 75th St
Ste 101
Gainesville, FL 32607
Phone (352) 331-5277

Interoperability endpoints

  • Direct secure messaging: pvyas133551@direct.shands.ufl.edu
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: priyanka.vyas@mp-fl.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/21777/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1306050232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 NW 52ND LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326533954",
            "telephone_number": "352-559-8911",
            "fax_number": "352-559-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SW 75TH ST STE 101",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075775",
            "telephone_number": "352-559-8911",
            "fax_number": "352-559-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYAS",
        "first_name": "PRIYANKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME116979",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-6560",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P3831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010376700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.