Individual provider Active NPI

Vikas Vinodray Bhimani, MD

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1609005693
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME171670 Issued in FL
Practice address
14810 Old Saint Augustine Rd Ste 208
Jacksonville, FL 32258-2558
Phone
(904) 260-4111
NPI assigned
Jul 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 ME171670 FL Primary

Addresses

Primary practice location

14810 Old Saint Augustine Rd Ste 208
Jacksonville, FL 32258-2558

Mailing address

330 Corporate Way Ste 200
Orange Park, FL 32073-6214
Phone (904) 282-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200331002038 MI Practitioner - Family Practice 7113204462 Reassigns benefits to 1 organization
I20251224002274 FL Practitioner - Family Practice 7113204462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Practice addresses (Care Compare)

14810 Old Saint Augustine Rd
Suite 208
Jacksonville, FL 32258-2558
Phone (904) 260-4111

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME171670FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. CurrentSince Nov 18, 2021 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Physicians Group Services PA CurrentSince Jan 1, 2026 Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Nov 18, 2021 Accepting new patients
Physicians Group Services PA CurrentSince Jan 1, 2026 Accepting new patients
Physicians Group Services PA Family Medicine Past Accepting new patients
Physicians Group Services PA Family Medicine Past Accepting new patients
Metro Pavia Healthcare Center PastSince Aug 4, 2024 Accepting new patients

Locations

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

14810 Old St Augustine Rd
Ste 208
Jacksonville, FL 32258
Phone (904) 260-4111

16440 Gratiot Rd
Hemlock, MI 48626
Phone (989) 583-0660

5570 State St
Saginaw, MI 48603
Phone (989) 583-0100

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

Interoperability endpoints

  • Direct secure messaging: vbhimani113608@direct.covenanthealthcare.com

Organizations & group practices 8

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1609005693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CORPORATE WAY STE 200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736214",
            "telephone_number": "904-282-6331",
            "fax_number": "904-866-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14810 OLD SAINT AUGUSTINE RD STE 208",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582558",
            "telephone_number": "904-260-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHIMANI",
        "first_name": "VIKAS",
        "middle_name": "VINODRAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME171670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.