NPIMap

Individual provider Active NPI

Vishal Gujral, MD

  • Cardiovascular Disease Physician
  • Crestview, FL
National Provider Identifier
1710127006
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME107427 Issued in FL
Practice address
101 4TH Ave Ste D
Crestview, FL 32539-2401
Phone
(850) 281-3324
NPI assigned
Feb 25, 2009
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME107427 FL Primary

Addresses

Primary practice location

101 4TH Ave Ste D
Crestview, FL 32539-2401

Mailing address

101 4TH Ave Ste D
Crestview, FL 32539-2401
Phone (850) 281-3324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000214 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4688866213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Louisiana State University School of Medicine in New Orleans, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

5992 Berryhill Rd
Suite 302
Milton, FL 32570-1017
Phone (850) 416-4620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Sep 1, 2012 Accepting new patients
Pax Cardiovascular Specialists LLC Cardiovascular Disease Current Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients
Northwest Florida Heart Group PA Cardiovascular Disease Past Accepting new patients

Locations

101 4th Ave
Ste D
Crestview, FL 32539
Phone (850) 683-3544

36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301

5992 Berryhill Rd
Ste 302
Milton, FL 32570
Phone (850) 416-4620

3754 Highway 90
Ste 300
Pace, FL 32571
Phone (850) 416-5510

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

Interoperability endpoints

  • Direct secure messaging: vishal.gujral.2@9582.direct.athenahealth.com

Organizations & group practices 5

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 5

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": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1710127006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 4TH AVE STE D",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325392401",
            "telephone_number": "850-281-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 4TH AVE STE D",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325392401",
            "telephone_number": "850-281-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUJRAL",
        "first_name": "VISHAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-25",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME107427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.