Individual provider Active NPI

Vyas Naresh Dake, M.D.

  • Family Medicine Physician
  • Temple Terrace, FL
National Provider Identifier
1346489937
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME152591 Issued in FL
Practice address
8727 Temple Terrace Hwy
Temple Terrace, FL 33637-6700
Phone
(813) 796-5400
Fax
(813) 776-0079
NPI assigned
Feb 5, 2009
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10031137 TX
Family Medicine Physician 207Q00000X MD2011-0207 NM
Family Medicine Physician 207Q00000X ME152591 FL Primary

Addresses

Primary practice location

8727 Temple Terrace Hwy
Temple Terrace, FL 33637-6700

Mailing address

8727 Temple Terrace Hwy
Temple Terrace, FL 33637-6700
Phone (813) 796-5400

Other identifiers 4

IdentifierTypeStateIssuer
85001732MedicaidNM
1932187044OtherNMGROUP NPI
800521089OtherNMMEDICARE GROUP ID
Z2565OtherNMMEDICAID GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120117000537 NM Practitioner - Family Practice 5395912265 Reassigns benefits to 1 organization
I20220419002691 FL Practitioner - Family Practice 5395912265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3128 E Hillsborough Ave
Chen Central FL Holdings
Tampa, FL 33610-4528
Phone (813) 579-1769

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10031137TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Masoud Khorsand-Sahbaie, MD PA Family Medicine CurrentSince Nov 29, 2011 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jun 1, 2022 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jun 1, 2022 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients
Masoud Khorsand- Sahbaie MD P a CurrentSince Nov 29, 2011 Accepting new patients

Locations

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3128 E Hillsborough Ave
Tampa, FL 33610
Phone (813) 579-1767

8727 Temple Terrace Hwy
Temple Terrace, FL 33637
Phone (813) 796-5400

400 Military Heights Pl
Roswell, NM 88201
Phone (575) 627-9110

407 W Country Club Rd
Roswell, NM 88201
Phone (505) 627-9110

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: vdake7587@ahs.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1346489937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 TEMPLE TERRACE HWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336376700",
            "telephone_number": "813-796-5400",
            "fax_number": "813-776-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8727 TEMPLE TERRACE HWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336376700",
            "telephone_number": "813-796-5400",
            "fax_number": "813-776-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKE",
        "first_name": "VYAS",
        "middle_name": "NARESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10031137",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2011-0207",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME152591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001732",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1932187044",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "800521089",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "Z2565",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.