Individual provider Active NPI

Vishesh Puri, M.D.

  • Nephrology Physician
  • Jacksonville, FL
National Provider Identifier
1407092562
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME161507 Issued in FL
Practice address
6885 Belfort Oaks PL Ste 230
Jacksonville, FL 32216-6283
Phone
(904) 593-5333
Fax
(904) 593-5334
NPI assigned
Dec 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME161507 FL Primary

Addresses

Primary practice location

6885 Belfort Oaks PL Ste 230
Jacksonville, FL 32216-6283

Mailing address

12620 Beach Blvd Ste 3-422
Jacksonville, FL 32246-7131
Phone (904) 593-5333

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
I20230525003528 FL Practitioner - Nephrology 9739225889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Clinic of North Florida PLLCGroup PAC ID 7618377789, 2 clinicians

Practice addresses (Care Compare)

6885 Belfort Oaks PL
Suite 230
Jacksonville, FL 32216-6283
Phone (904) 593-5333

Hospital & facility affiliations

  • Fresenius Kidney Care Orange Park North Dialysis facility, Orange Park, FL, CCN 682614
  • DaVita Citrus Grove Dialysis Dialysis facility, Orange Park, FL, CCN 682800
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179
  • Ascension St Vincent'S St Johns County Hospital, St. Johns, FL, CCN 100361

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME161507FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Clinic of North Florida PLLC Nephrology CurrentSince Jun 15, 2023 Accepting new patients

Locations

12620 Beach Blvd
Ste 3-422
Jacksonville, FL 32246

6885 Belfort Oaks Pl
Ste 230
Jacksonville, FL 32216
Phone (904) 222-6176

1825 Kingsley Ave
Ste 260
Orange Park, FL 32073
Phone (904) 593-5333

Organizations & group practices 1

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 7

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": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1407092562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12620 BEACH BLVD STE 3-422",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467131",
            "telephone_number": "904-593-5333",
            "fax_number": "904-593-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 BELFORT OAKS PL STE 230",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166283",
            "telephone_number": "904-593-5333",
            "fax_number": "904-593-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "VISHESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-19",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME161507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.