Individual provider Active NPI

Vaishali B Doolabh, MD

  • Plastic and Reconstructive Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1649265463
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME82927 Issued in FL
Practice address
7035 Southpoint Pkwy S
Jacksonville, FL 32216-8709
Phone
(904) 854-4800
Fax
(904) 854-4801
NPI assigned
Sep 19, 2005
Reactivated
Mar 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME82927 FL
Plastic and Reconstructive Surgery Physician 2086S0122X ME82927 FL Primary

Addresses

Primary practice location

7035 Southpoint Pkwy S
Jacksonville, FL 32216-8709

Mailing address

3948 3Rd St S
Jacksonville, FL 32250-5847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82927FLMDPlastic and Reconstructive Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1649265463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 3RD ST S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322505847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 SOUTHPOINT PKWY S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168709",
            "telephone_number": "904-854-4800",
            "fax_number": "904-854-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLABH",
        "first_name": "VAISHALI",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME82927",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME82927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.