Individual provider Active NPI

Girish - Bhaskar, MD

  • Pulmonary Disease Physician
  • Lake City, FL
National Provider Identifier
1477599751
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME52955 Issued in FL
Practice address
619 S Marion Ave
VA Medical Center
Lake City, FL 32025-5808
Phone
(386) 755-3016
Fax
(386) 754-6397
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME52955 FL Primary

Addresses

Primary practice location

619 S Marion Ave
VA Medical Center
Lake City, FL 32025-5808

Mailing address

619 S Marion Ave
VA Medical Center
Lake City, FL 32025-5808
Phone (386) 755-3016

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
I20110329000678 FL Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0143403139 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME52955FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Nov 29, 2014 Accepting new patients
Florida Department of Health Current Accepting new patients
Florida Department of Health CurrentSince Oct 6, 2014 Accepting new patients
Florida Department of Health Current Accepting new patients
Origins Family Medical & Weight Loss Clinic Inc CurrentSince Jan 1, 2014 Accepting new patients
Cara L Hacht DC P a PastSince Jan 1, 2014 Accepting new patients

Locations

495 E Main St
Lake Butler, FL 32054
Phone (386) 496-3211

194 SW Wall Ter
Lake City, FL 32025
Phone (386) 719-9227

915 Nobles Ferry Rd
Live Oak, FL 32064
Phone (386) 362-2708

140 SW Virginia Cir
Mayo, FL 32066
Phone (386) 294-1321

1801 N Temple Ave
Starke, FL 32091
Phone (904) 964-7732

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477599751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S MARION AVE",
            "address_2": "VA MEDICAL CENTER",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255808",
            "telephone_number": "386-755-3016",
            "fax_number": "386-754-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S MARION AVE",
            "address_2": "VA MEDICAL CENTER",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255808",
            "telephone_number": "386-755-3016",
            "fax_number": "386-754-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASKAR",
        "first_name": "GIRISH",
        "middle_name": "-",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME52955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.