Individual provider Active NPI

Vinod C Thakkar, MD

  • Gastroenterology Physician
  • Sebring, FL
National Provider Identifier
1497717185
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0035654 Issued in FL
Practice address
3581 S Highlands Ave
Sebring, FL 33870-5410
Phone
(863) 385-5129
Fax
(863) 385-7162
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0035654 FL Primary

Addresses

Primary practice location

3581 S Highlands Ave
Sebring, FL 33870-5410

Mailing address

3581 S Highlands Ave
Sebring, FL 33870-5410
Phone (863) 385-5129

Other identifiers 1

IdentifierTypeStateIssuer
038565400MedicaidFL

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
I20051201000112 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 5597669267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thakkar Patel and Avalos MD'S LLCGroup PAC ID 5294755617, 14 clinicians

Practice addresses (Care Compare)

1009 Sebring Pkwy
Suite 101
Sebring, FL 33870-1616
Phone (863) 385-5179

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0035654FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thakkar Patel & Avalos MD'S LLC Gastroenterology CurrentSince Oct 1, 2005 Accepting new patients
The Surgery & Endoscopy Center LLC PastSince Apr 8, 2003 Accepting new patients
Thakkar Anesthesia Associates PA Past Accepting new patients

Locations

1009 Sebring Pkwy
Ste 101
Sebring, FL 33870
Phone (863) 385-5179

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1497717185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3581 S HIGHLANDS AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705410",
            "telephone_number": "863-385-5129",
            "fax_number": "863-385-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 S HIGHLANDS AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705410",
            "telephone_number": "863-385-5129",
            "fax_number": "863-385-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "VINOD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0035654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038565400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.