Active NPI
Vaishali B Doolabh, MD
- Plastic and Reconstructive Surgery Physician
- Jacksonville, FL
National Provider Identifier
1649265463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME82927
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME82927 | FL | MD | Plastic 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.