Individual provider Active NPI

Vartika Bhardwaj, MD

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1669903514
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME150814 Issued in FL
Practice address
653-1 W 8TH St
Box L-17
Jacksonville, FL 32209-6511
Phone
(904) 383-1037
Fax
(904) 244-4059
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN24366 FL
Obstetrics & Gynecology Physician 207V00000X ME150814 FL Primary

Addresses

Primary practice location

653-1 W 8TH St
Box L-17
Jacksonville, FL 32209-6511

Mailing address

441 Woodcrest St
Winter Springs, FL 32708-6199
Phone (407) 489-1844

Other practice location 1

3000 Hunters Creek Blvd
Orlando, FL 32837-6901
Phone (407) 857-2502

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
I20170913003907 FL Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 8325311319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME150814FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology Past Accepting new patients
Womencare PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vartika.bhardwaj.1@2183.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1669903514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 WOODCREST ST",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086199",
            "telephone_number": "407-489-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653-1 W 8TH ST",
            "address_2": "BOX L-17",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-383-1037",
            "fax_number": "904-244-4059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Hunters Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328376901",
            "country_code": "US",
            "telephone_number": "407-857-2502",
            "fax_number": "407-857-1855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHARDWAJ",
        "first_name": "VARTIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN24366",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME150814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.