Individual provider Active NPI

Dhvanit K Vijapura, M.D.

  • Psychiatry Physician
  • Panama City, FL
National Provider Identifier
1558338202
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0059359 Issued in FL
Practice address
2003 Wilson Ave
Panama City, FL 32405-4532
Phone
(850) 784-9991
Fax
(850) 763-8361
NPI assigned
Mar 1, 2006
Last updated
Nov 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0059359 FL Primary

Addresses

Primary practice location

2003 Wilson Ave
Panama City, FL 32405-4532

Mailing address

2003 Wilson Ave
Panama City, FL 32405-7612
Phone (850) 784-9991

Other identifiers 2

IdentifierTypeStateIssuer
054221100MedicaidFL
12482OtherFLBCBS FLORIDA

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
I20070702000552 FL Practitioner - PsychiatryPractitioner - Addiction MedicinePractitioner - Geriatric Psychiatry 3072613181 Receives reassigned benefits from 1 practitioner
Practice locations: Panama City Beach, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0059359FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dhvanit K Vijapura MD Psychiatry CurrentSince Feb 4, 1990 Accepting new patients

Locations

2003 Wilson Ave
Panama City, FL 32405
Phone (850) 481-0306

221 E 23rd St
Ste F
Panama City, FL 32405
Phone (850) 271-8258

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1558338202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 WILSON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057612",
            "telephone_number": "850-784-9991",
            "fax_number": "850-763-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 WILSON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054532",
            "telephone_number": "850-784-9991",
            "fax_number": "850-763-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAPURA",
        "first_name": "DHVANIT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0059359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054221100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "12482",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.