Individual provider Active NPI

Harish Bhaskar, MD

  • Pulmonary Disease Physician
  • Jacksonville, FL
National Provider Identifier
1750506705
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME98387 Issued in FL
Practice address
2 Shircliff Way
Suite 435
Jacksonville, FL 32204-4763
Phone
(904) 308-6900
Fax
(904) 308-6927
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME98387 FL Primary

Addresses

Primary practice location

2 Shircliff Way
Suite 435
Jacksonville, FL 32204-4763

Mailing address

2 Shircliff Way
Suite 435
Jacksonville, FL 32204-4763
Phone (904) 308-6900

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
I20070827000916 FL Practitioner - Pulmonary Disease 5698867240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent'S Ambulatory Care Inc 303 clinicians

Practice addresses (Care Compare)

2 Shircliff Way
Depaul Building Suite 435
Jacksonville, FL 32204-4753
Phone (904) 308-6900

Hospital & facility affiliations

  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040
  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • Ascension St Vincent'S St Johns County Hospital, St. Johns, FL, CCN 100361
  • Ascension St Vincent'S Clay County Hospital, Middleburg, FL, CCN 100321

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc Pulmonary Disease CurrentSince Apr 1, 2014 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Apr 1, 2014 Accepting new patients

Locations

1699 S 14th St
Ste 9
Fernandina Beach, FL 32034
Phone (904) 206-5000

3 Shircliff Way
Ste 625
Jacksonville, FL 32204
Phone (904) 308-6900

2 Shircliff Way
Ste 435
Jacksonville, FL 32204
Phone (904) 308-6900

425 N Lee St
Ste 101
Jacksonville, FL 32204
Phone (904) 358-9587

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

4203 Belfort Rd
Ste 108
Jacksonville, FL 32216
Phone (904) 450-6460

425 N Lee St
Ste 203
Jacksonville, FL 32204
Phone (904) 354-8200

425 N Lee St
Ste 202
Jacksonville, FL 32204
Phone (904) 366-3736

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1893 Kingsley Ave
Ste C
Orange Park, FL 32073
Phone (904) 375-8850

Interoperability endpoints

  • Direct secure messaging: harish.bhaskar.1@8967.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.

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1750506705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY",
            "address_2": "SUITE 435",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044763",
            "telephone_number": "904-308-6900",
            "fax_number": "904-308-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY",
            "address_2": "SUITE 435",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044763",
            "telephone_number": "904-308-6900",
            "fax_number": "904-308-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASKAR",
        "first_name": "HARISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME98387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.