Active NPI
Girish - Bhaskar, MD
- Pulmonary Disease Physician
- Lake City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME52955
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110329000678 | FL | Practitioner - Internal Medicine | 0143403139 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME52955 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| Origins Family Medical & Weight Loss Clinic Inc | Current | Accepting new patients | |
| Cara L Hacht DC P a | Past | 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.
-
- General Practice Physician
- Lake City, FL
- NPI 1962835306
FL
-
- Public Health or Welfare Agency
- Lake Butler, FL
- NPI 1598730806
-
- Public Health or Welfare Agency
- Starke, FL
- NPI 1932174240
-
- Chiropractor
- New Port Richey, FL
- NPI 1508038266
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.