Active NPI
Advait Mukul Vasavada, MBBS
- Family Medicine Physician
- Gregory, SD
National Provider Identifier
1497433585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18805
- Practice address
- 110 S Logan Ave Ste a
Gregory, SD 57533-1614 - Phone
- (605) 835-9611
- Fax
- (605) 835-8033
- NPI assigned
- Jul 7, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18805 | SD | Primary |
Addresses
Primary practice location
110 S Logan Ave Ste a
Gregory, SD 57533-1614
Mailing address
110 S Logan Ave Ste a
Gregory, SD 57533-1614
Phone (605) 835-9611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- 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 |
|---|---|---|---|---|
| I20230810001420 | NE | Order and Referring Only - Family Practice | 5395107171 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1497433585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S LOGAN AVE STE A",
"city": "GREGORY",
"state": "SD",
"postal_code": "575331614",
"telephone_number": "605-835-9611",
"fax_number": "605-835-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S LOGAN AVE STE A",
"city": "GREGORY",
"state": "SD",
"postal_code": "575331614",
"telephone_number": "605-835-9611",
"fax_number": "605-835-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASAVADA",
"first_name": "ADVAIT",
"middle_name": "MUKUL",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-07",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "18805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gregory, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.