NPIMap

Individual provider Active NPI

Vikash Priyadarshi, MD

  • Family Medicine Physician
  • Palm Bay, FL
National Provider Identifier
1598995185
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME111767 Issued in FL
Practice address
336 Cogan Dr SE
Palm Bay, FL 32909-6869
Phone
(321) 460-4001
Fax
(321) 622-6400
NPI assigned
Jul 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME111767 FL Primary

Addresses

Primary practice location

336 Cogan Dr SE
Palm Bay, FL 32909-6869

Mailing address

PO Box 361095
Melbourne, FL 32936-1095
Phone (321) 462-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000112 FL Practitioner - Family PracticePractitioner - Emergency Medicine 5395991855 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Brevard LLCGroup PAC ID 4486558012, 75 clinicians

Practice addresses (Care Compare)

336 Cogan Dr SE
Palm Bay, FL 32909-6869
Phone (321) 462-4001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalists of Florida, LLC CurrentSince Mar 12, 2016 Accepting new patients
Medical Associates of Brevard LLC CurrentSince Jul 1, 2022 Accepting new patients
Mel-Bay Health Care Inc Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Rockledge Physician Services, LLC CurrentSince May 22, 2018 Accepting new patients

Locations

1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500

950 S Apollo Blvd
Melbourne, FL 32901
Phone (321) 473-8400

336 Cogan Dr SE
Palm Bay, FL 32909
Phone (301) 355-9812

5205 Babcock St NE
Ste 3
Palm Bay, FL 32905
Phone (321) 458-0853

110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJGBDA
  • Direct secure messaging: vpriyadarshi71755@epicdirect.hf.org
  • Direct secure messaging: vikashpriyadarshi@mab.medentdirect.com

Organizations & group practices 4

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 7

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": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1598995185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361095",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329361095",
            "telephone_number": "321-462-4001",
            "fax_number": "321-622-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 COGAN DR SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096869",
            "telephone_number": "321-460-4001",
            "fax_number": "321-622-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIYADARSHI",
        "first_name": "VIKASH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME111767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.