Individual provider Active NPI

Robin Vasan, MBBS

  • Urology Physician
  • Orange City, FL
National Provider Identifier
1407343692
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME167936 Issued in FL
Practice address
2583 S Volusia Ave Ste 300
Orange City, FL 32763-9129
Phone
(386) 774-2121
NPI assigned
Apr 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME167936 FL Primary

Addresses

Primary practice location

2583 S Volusia Ave Ste 300
Orange City, FL 32763-9129

Mailing address

2583 S Volusia Ave Ste 300
Orange City, FL 32763-9129

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
I20240522001121 FL Practitioner - Urology 7214379296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urology Institute LLCGroup PAC ID 2163653585, 152 clinicians

Practice addresses (Care Compare)

2583 S Volusia Ave
Suite 300
Orange City, FL 32763-9129
Phone (386) 736-3463

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute, LLC Urology CurrentSince May 8, 2024 Accepting new patients
Advanced Urology Institute, LLC Urology CurrentSince May 8, 2024 Accepting new patients
Advanced Urology Institute LLC Urology Past Accepting new patients
Advanced Urology Institute, LLC Past Accepting new patients

Locations

609 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-9707

506 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 427-9554

2583 S Volusia Ave
Ste 300
Orange City, FL 32763
Phone (386) 456-2080

12109 County Road 103
Oxford, FL 34484
Phone (352) 205-8981

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc41222_advuroswflorida
  • Direct secure messaging: robinvasan@aui.medalliesdirect.net

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 3

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1407343692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2583 S VOLUSIA AVE STE 300",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2583 S VOLUSIA AVE STE 300",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639129",
            "telephone_number": "386-774-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASAN",
        "first_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME167936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.