Individual provider Active NPI

Vijayselwyn Davis Dhas, M.D.

  • Obstetrics & Gynecology Physician
  • St Augustine, FL
National Provider Identifier
1386871333
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME104834 Issued in FL
Practice address
301 Health Park Blvd Ste 219
St Augustine, FL 32086-5795
Phone
(904) 819-9898
Fax
(904) 819-9594
NPI assigned
Jun 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME104834 FL Primary

Addresses

Primary practice location

301 Health Park Blvd Ste 219
St Augustine, FL 32086-5795

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other identifiers 1

IdentifierTypeStateIssuer
000949300MedicaidFL

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
I20091123000493 FL Practitioner - Obstetrics/Gynecology 8820137367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

301 Health Park Blvd
Suite 219
St Augustine, FL 32086-5795
Phone (904) 819-9898

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Flagler OB GYN PA Obstetrics & Gynecology PastSince May 13, 2009 Accepting new patients
Juan Larroude MD PA Past Accepting new patients

Locations

2525 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-0704

301 Health Park Blvd
Ste 219
St Augustine, FL 32086
Phone (904) 819-9898

1680 Osceola Elementary Rd
Ste A
St Augustine, FL 32084
Phone (904) 284-5386

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

5002 W Lemon St
Tampa, FL 33609

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

Interoperability endpoints

  • Direct secure messaging: vdhas742742@direct.shands.ufl.edu
  • Direct secure messaging: vijayselwyn.dhas@wcfnf.eclinicaldirectplus.com

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 and National Provider Directory roles.

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1386871333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD STE 219",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865795",
            "telephone_number": "904-819-9898",
            "fax_number": "904-819-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAS",
        "first_name": "VIJAYSELWYN",
        "middle_name": "DAVIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME104834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000949300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.