NPIMap

Individual provider Active NPI

Rajesh Kumar Vishen, M.D.

  • Internal Medicine Physician
  • Orange Park, FL
National Provider Identifier
1346240504
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0074218 Issued in FL
Practice address
165 Wells Rd
Orange Park, FL 32073-3035
Phone
(904) 264-3111
Fax
(904) 264-3213
NPI assigned
Jul 28, 2005
Last updated
Dec 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 510444005 FL
Internal Medicine Physician 207R00000X ME0074218 FL Primary

Addresses

Primary practice location

165 Wells Rd
Orange Park, FL 32073-3035

Mailing address

165 Wells Rd
Orange Park, FL 32073-3035
Phone (904) 264-3111

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
I20040402000934 FL Practitioner - Internal Medicine 4688562564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R K Vishen MD P aGroup PAC ID 1052409703, 6 clinicians
Northeast Florida Health Solution Inc.Group PAC ID 4385930346, 3 clinicians

Practice addresses (Care Compare)

165 Wells Rd
Orange Park, FL 32073-3037

2149 Saint Johns Ave
Jacksonville, FL 32204-4418
Phone (904) 388-2540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0074218FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Florida Health Solution Inc. Internal Medicine CurrentSince May 6, 2025 Accepting new patients
R K Vishen MD P a Internal Medicine CurrentSince May 1, 2006 Accepting new patients
Acv Community Services LLC Past Accepting new patients
Jayalakshmi Padmanabhan MD, PA Internal Medicine PastSince Dec 17, 2009 Accepting new patients
Acv Community Services, LLC Past Accepting new patients

Locations

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

2332 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-2540

6400 Brooks Bartram Dr
Jacksonville, FL 32258
Phone (904) 667-4786

108 Kingsley Ave
Orange Park, FL 32073
Phone (904) 264-0000

165 Wells Rd
Ste 404
Orange Park, FL 32073
Phone (904) 264-3111

833 Kingsley Ave
Orange Park, FL 32073
Phone (904) 269-2610

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vivo Healthcare Orange ParkOrange Park, FL, CCN 105692 Skilled nursing facility Adp of the SNF Apr 1, 2024
Hospice of FloridaJacksonville, FL, CCN 101572 Hospice Contracted Managing Employee Aug 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1346240504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WELLS RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733035",
            "telephone_number": "904-264-3111",
            "fax_number": "904-264-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WELLS RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733035",
            "telephone_number": "904-264-3111",
            "fax_number": "904-264-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISHEN",
        "first_name": "RAJESH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "510444005",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0074218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.