Organization Active NPI

Vilas Deshpande M.D., PA

  • Specialist
  • St Petersburg, FL
National Provider Identifier
1548417488
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0050528 Issued in FL
Legal business name
VILAS DESHPANDE M.D., PA
Practice address
5880 49TH St N
Suite 101-N
St Petersburg, FL 33709-2150
Phone
(727) 528-0815
Fax
(727) 528-1724
NPI assigned
Aug 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Dr. Vilas Deshpande, M.D.
Title
President
Phone
(727) 528-0815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0050528 FL Primary

Addresses

Primary practice location

5880 49TH St N
Suite 101-N
St Petersburg, FL 33709-2150

Mailing address

5880 49TH St N
Suite 101-N
St Petersburg, FL 33709-2150
Phone (727) 528-0815

Other identifiers 1

IdentifierTypeStateIssuer
250630100MedicaidFL

National Provider Directory

National Provider Directory

Locations

5880 49th St N
Ste 101N
St Petersburg, FL 33709
Phone (727) 528-0815

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1548417488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N",
            "address_2": "SUITE 101-N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092150",
            "telephone_number": "727-528-0815",
            "fax_number": "727-528-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N",
            "address_2": "SUITE 101-N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092150",
            "telephone_number": "727-528-0815",
            "fax_number": "727-528-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILAS DESHPANDE M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "DESHPANDE",
        "authorized_official_first_name": "VILAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-528-0815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0050528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250630100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.