Individual provider Active NPI

Mayur Jivrajbhai Lakhani, MD

  • Interventional Cardiology Physician
  • Port Charlotte, FL
National Provider Identifier
1356596696
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME138892 Issued in FL
Practice address
3028 Caring Way Unit 4
Port Charlotte, FL 33952-5300
Phone
(941) 212-2748
Fax
(941) 328-8946
NPI assigned
Dec 1, 2008
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2018-01748 NC
Internal Medicine Physician 207R00000X ME138892 FL
Interventional Cardiology Physician 207RI0011X 255995 NY
Interventional Cardiology Physician 207RI0011X 2018-01748 NC
Interventional Cardiology Physician 207RI0011X ME138892 FL Primary

Addresses

Primary practice location

3028 Caring Way Unit 4
Port Charlotte, FL 33952-5300

Mailing address

3028 Caring Way Unit 4
Port Charlotte, FL 33952-5300
Phone (941) 212-2748

Other identifiers 1

IdentifierTypeStateIssuer
03860280MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, 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
I20180922000228 NC Practitioner - Interventional Cardiology 7517180508 Reassigns benefits to 1 organization
I20200804000256 FL Practitioner - Interventional CardiologyPractitioner - Internal Medicine 7517180508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Associates PAGroup PAC ID 9931480993, 5 clinicians

Practice addresses (Care Compare)

3028 Caring Way
Unit 4
Port Charlotte, FL 33952-5300
Phone (941) 212-2748

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Varicose vein removal50
Leg revascularization (restoring blood flow)16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME138892FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Cape Fear Medical Group, PA Cardiovascular Disease CurrentSince Sep 1, 2018 Accepting new patients
Apogee Medical Associates PA Cardiovascular Disease CurrentSince Aug 1, 2020 Accepting new patients
Serenity Internal Medicine Internal Medicine PastSince Mar 16, 2021 Accepting new patients
Healthsouth Men's Clinic PastSince Sep 1, 2018 Accepting new patients

Locations

3028 Caring Way
Ste 401
Port Charlotte, FL 33952

2852 Tamiami Trl
Ste 4
Pt Charlotte, FL 33952
Phone (941) 212-2748

3028 Caring Way
Unit 4
Pt Charlotte, FL 33952
Phone (941) 212-2748

3637 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 483-4938

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDBABD

Organizations & group practices 4

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1356596696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 CARING WAY UNIT 4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525300",
            "telephone_number": "941-212-2748",
            "fax_number": "941-328-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 CARING WAY UNIT 4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525300",
            "telephone_number": "941-212-2748",
            "fax_number": "941-328-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKHANI",
        "first_name": "MAYUR",
        "middle_name": "JIVRAJBHAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2018-01748",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME138892",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "255995",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "2018-01748",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME138892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03860280",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.