Individual provider Active NPI

Vasanthi Chandrasekaran, M.D.

  • Family Medicine Physician
  • Margate, FL
National Provider Identifier
1790745149
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0075802 Issued in FL
Practice address
3113 N State Road 7
Margate, FL 33063-7006
Phone
(954) 956-7979
Fax
(954) 956-8681
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0075802 FL Primary

Addresses

Primary practice location

3113 N State Road 7
Margate, FL 33063-7006

Mailing address

3113 N State Road 7
Margate, FL 33063-7006
Phone (954) 956-7979

Other identifiers 1

IdentifierTypeStateIssuer
255108001MedicaidFL

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
I20040719001551 FL Practitioner - Family Practice 2466431747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3113 N State Rd
Suite 7
Margate, FL 33063-7006
Phone (954) 956-7979

Hospital & facility affiliations

  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0075802FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Margate Family Medical Center Inc Family Medicine CurrentSince Jul 12, 2006 Accepting new patients

Locations

3113 N State Road 7
Margate, FL 33063
Phone (954) 956-7979

Organizations & group practices 1

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 7

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1790745149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 N STATE ROAD 7",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330637006",
            "telephone_number": "954-956-7979",
            "fax_number": "954-956-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 N STATE ROAD 7",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330637006",
            "telephone_number": "954-956-7979",
            "fax_number": "954-956-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASEKARAN",
        "first_name": "VASANTHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0075802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255108001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.