Individual provider Active NPI

Vinod K Raxwal, MD

  • Interventional Cardiology Physician
  • Hudson, FL
National Provider Identifier
1659386449
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME101179 Issued in FL
Practice address
7615 Jacque Rd
Hudson, FL 34667-7132
Phone
(727) 255-0920
Fax
(727) 255-5560
NPI assigned
Jul 30, 2006
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME101179 FL
Interventional Cardiology Physician 207RI0011X ME101179 FL Primary

Addresses

Primary practice location

7615 Jacque Rd
Hudson, FL 34667-7132

Mailing address

5350 Spring Hill Dr
Spring Hill, FL 34606-4562
Phone (352) 277-5348

Other practice location 1

7323 Green Slope Dr Ste 103
Zephyrhills, FL 33541-1311
Phone (813) 333-5754

Other practice location 2

6325 State Road 54
New Port Richey, FL 34653-6037
Phone (727) 255-0920

Other identifiers 3

IdentifierTypeStateIssuer
ME101179OtherFLSTATE MEDIAL LICENSE
000278100MedicaidFL
61908OtherFLBCBS FL

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
I20081007000084 FL Practitioner - Cardiovascular Disease (Cardiology) 7113933177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Access Health Care Physicians LLCGroup PAC ID 4385821156, 176 clinicians
West Florida Cardiovascular Co-Management Associates, LLCGroup PAC ID 0547538316, 36 clinicians

Practice addresses (Care Compare)

14100 Fivay Rd
Suite 130
Hudson, FL 34667-7159
Phone (727) 857-4871

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (800) 432-2301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101179FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icare360 Imaging LLC CurrentSince Sep 11, 2024 Accepting new patients
Tampa General Hospital Current Accepting new patients
Access Health Care Physicians LLC CurrentSince Oct 1, 2014 Accepting new patients
West Florida Cardiovascular Co-Management Associates, LLC Cardiovascular Disease CurrentSince Jan 1, 2020 Accepting new patients
Icare360 Imaging LLC CurrentSince Aug 1, 2024 Accepting new patients
Access Health Care LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Baycare Medical Group, Inc. Past Accepting new patients
Unity Healthcare LLC Past Accepting new patients

Locations

14100 Fivay Rd
Ste 130
Hudson, FL 34667
Phone (727) 378-5808

7615 Jacque Rd
Hudson, FL 34667
Phone (727) 697-0100

7615 Jacque Rd
Ste 102
Hudson, FL 34667
Phone (727) 255-0920

634 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-6201

13220 Belcher Rd S
Unit 11
Largo, FL 33773
Phone (727) 533-2242

6325 State Road 54
New Prt Rchy, FL 34653
Phone (215) 771-0196

14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609

5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

7323 Green Slope Dr
Ste 101
Zephyrhills, FL 33541
Phone (813) 692-7947

7323 Green Slope Dr
Ste 103
Zephyrhills, FL 33541
Phone (813) 333-5754

7323 Green Slope Dr
Ste 104
Zephyrhills, FL 33541
Phone (813) 779-6019

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/JICADA
  • Direct secure messaging: vraxwal296245@direct.tgh.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1659386449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064562",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 JACQUE RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677132",
            "telephone_number": "727-255-0920",
            "fax_number": "727-255-5560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7323 Green Slope Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335411311",
            "country_code": "US",
            "telephone_number": "813-333-5754",
            "fax_number": "813-333-7404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6325 State Road 54",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346536037",
            "country_code": "US",
            "telephone_number": "727-255-0920",
            "fax_number": "727-255-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAXWAL",
        "first_name": "VINOD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME101179",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME101179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDIAL LICENSE",
            "identifier": "ME101179",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000278100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "61908",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.