Individual provider Active NPI

Amit S Bhakoo, M.D.

  • Vascular & Interventional Radiology Physician
  • Lakeland, FL
National Provider Identifier
1457649709
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME150712 Issued in FL
Practice address
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone
(863) 687-1100
NPI assigned
Jul 20, 2011
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME150712 FL
Diagnostic Radiology Physician 2085R0202X E-10871 AR
Vascular & Interventional Radiology Physician 2085R0204X 4301109496 MI
Vascular & Interventional Radiology Physician 2085R0204X ME150712 FL Primary

Addresses

Primary practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Mailing address

2115 Crystal Grove Dr
Lakeland, FL 33801-6875
Phone (863) 688-2334

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
I20211004003388 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3274808811 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
George Washington University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Memorial Hospital L PGroup PAC ID 2062309164, 37 clinicians

Practice addresses (Care Compare)

1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100

2301 60TH St CT W
Suite C
Bradenton, FL 34209-5512
Phone (941) 708-8358

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.74 of 100Reported as group
Quality
85
Improvement activities
40
Cost
74.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-10871ARMDDiagnostic Radiology Physician
4301109496MIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Sep 16, 2021 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Sep 16, 2021 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Apr 15, 2022 Accepting new patients
St Josephs Diagnostic Center LLC Diagnostic Radiology Current Accepting new patients
Manatee Memorial Hospital L P CurrentSince Apr 15, 2022 Accepting new patients
Manatee Memorial Hospital L P Current Accepting new patients
St Joseph's Diagnostic Center LLC Diagnostic Radiology CurrentSince Sep 16, 2021 Accepting new patients
Manatee Memorial Hospital LP CurrentSince Apr 15, 2022 Accepting new patients
St Joseph's Diagnostic Center LLC Diagnostic Radiology CurrentSince Sep 16, 2021 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Dec 29, 2024 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients
Lakeland Regional Health Systems, Inc. Past Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients

Locations (25 of 30)

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

2301 60th Street Ct W
Ste C
Bradenton, FL 34209
Phone (941) 708-8358

250 2nd St E
Bradenton, FL 34208
Phone (941) 708-8152

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

40124 Highway 27
Davenport, FL 33837
Phone (863) 419-2500

3016 Dyer Blvd
Kissimmee, FL 34741
Phone (941) 782-9456

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064

1305 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-0251

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2115 Crystal Grove Dr
Lakeland, FL 33801

2120 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 557-0303

3221 S Florida Ave
Ste B
Lakeland, FL 33803
Phone (863) 577-0296

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

6150 S Florida Ave
Lakeland, FL 33813
Phone (863) 284-1693

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

8330 Lakewood Ranch Blvd
Ste 100
Lakewood Ranch, FL 34202
Phone (941) 782-2100

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

6760 Fruitville Rd
Sarasota, FL 34240
Phone (941) 378-7500

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

16504 US 301 S
Wimauma, FL 33598
Phone (813) 642-1000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: amitbhakoo@directglo.com

Organizations & group practices 16

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.

View all 16

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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1457649709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CRYSTAL GROVE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016875",
            "telephone_number": "863-688-2334",
            "fax_number": "863-581-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054543",
            "telephone_number": "863-687-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKOO",
        "first_name": "AMIT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME150712",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-10871",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301109496",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME150712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.