Individual provider Active NPI

Hetal Dinesh Vaishnav, MD

  • Ophthalmology Physician
  • Melbourne, FL
National Provider Identifier
1750319331
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME89205 Issued in FL
Practice address
175 E Nasa Blvd Ste 201
Melbourne, FL 32901-1998
Phone
(321) 999-7456
NPI assigned
Jun 30, 2006
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME89205 FL Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X ME89205 FL

Addresses

Primary practice location

175 E Nasa Blvd Ste 201
Melbourne, FL 32901-1998

Mailing address

175 E Nasa Blvd Ste 201
Melbourne, FL 32901-1998
Phone (321) 999-7456

Other practice location 1

150 S Woods Dr Ste A
Rockledge, FL 32955-3262
Phone (321) 999-7456

Other practice location 2

250 N Courtenay Pkwy Ste 101
Merritt Island, FL 32953-3495
Phone (321) 999-7456

Other practice location 3

5055 Babcock St NE Ste 6
Palm Bay, FL 32905-4673
Phone (321) 999-7456

Other practice location 4

1709 Garden St
Titusville, FL 32796-5002
Phone (321) 999-7456

Other names 1

  • Hetal Dinesh Vaishnav Other name

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
I20040802000730 FL Practitioner - Ophthalmology 1456322734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Morehouse School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Retina ConsultantsGroup PAC ID 8820472343, 2 clinicians

Practice addresses (Care Compare)

175 E Nasa Blvd
Suite 201
Melbourne, FL 32901-1998
Phone (321) 999-7456

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
95.83 of 100Reported as individual
Quality
91.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Eye Consultants, LLC Ophthalmology Past Accepting new patients
Eyewearllc PastSince Jan 1, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hvaishnav@aeg.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1750319331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E NASA BLVD STE 201",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011998",
            "telephone_number": "321-999-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E NASA BLVD STE 201",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011998",
            "telephone_number": "321-999-7456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S Woods Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329553262",
            "country_code": "US",
            "telephone_number": "321-999-7456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 N Courtenay Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329533495",
            "country_code": "US",
            "telephone_number": "321-999-7456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5055 Babcock St NE Ste 6",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329054673",
            "country_code": "US",
            "telephone_number": "321-999-7456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1709 Garden St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327965002",
            "country_code": "US",
            "telephone_number": "321-999-7456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAISHNAV",
        "first_name": "HETAL",
        "middle_name": "DINESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME89205",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME89205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HETAL",
            "last_name": "VAISHNAV",
            "middle_name": "DINESH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.