Individual provider Active NPI

Vijay Narasimha, MD

  • Surgery Physician
  • Brandon, FL
National Provider Identifier
1790861532
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME78612 Issued in FL
Practice address
116 Parsons Park Dr
Brandon, FL 33511-6066
Phone
(813) 684-5255
Fax
(813) 654-7457
NPI assigned
Oct 27, 2006
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME78612 FL Primary
Vascular Surgery Physician 2086S0129X ME0078612 FL

Addresses

Primary practice location

116 Parsons Park Dr
Brandon, FL 33511-6066

Mailing address

205 S.Moon Ave, Ste 102
Brandon, FL 33511-5716
Phone (813) 681-4644

Other practice location 1

205 S.Moon Ave, Ste 102
Brandon, FL 33511-5716
Phone (813) 681-4644

Other identifiers 9

IdentifierTypeStateIssuer
020048190OtherR.R.MEDICARE
01109OtherUNIVERSAL
271810OtherAVMED
5796380OtherGHI
264791500MedicaidFL
49887OtherBLUECROSS/BLUESHIELD
7401818005OtherCIGNA HMO
219857OtherAMERIGROUP
5599677OtherAETNA

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
I20101124000956 FL Practitioner - General SurgeryPractitioner - Vascular Surgery 6901906890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Hyperbaric and Woundcare IncGroup PAC ID 1052311560, 26 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

6919 N Dale Mabry Hwy
Suite 210
Tampa, FL 33614-3972
Phone (813) 558-4900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME78612FLMDSurgery Physician
ME0078612FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palanisamy Rathinasamy MD PA CurrentSince Aug 1, 2010 Accepting new patients
Florida Hospital Physician Group Inc Surgery CurrentSince Mar 5, 2024 Accepting new patients
Hyperbaric & Woundcare Inc CurrentSince Nov 1, 2019 Accepting new patients
Hyperbaric & Woundcare Inc CurrentSince Nov 1, 2019 Accepting new patients

Locations

116 Parsons Park Dr
Brandon, FL 33511
Phone (813) 681-6625

205 S Moon Ave
Brandon, FL 33511
Phone (813) 503-5004

205 S Moon Ave
Ste 102
Brandon, FL 33511
Phone (813) 654-9557

205 S Moon Ave
Ste 106
Brandon, FL 33511
Phone (813) 615-7100

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

3000 Medical Park Dr
Ste 400
Tampa, FL 33613
Phone (813) 253-3007

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

6919 N Dale Mabry Hwy
Ste 210
Tampa, FL 33614
Phone (813) 558-4900

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: vnarasimha783585@adventhealth.direct-ci.com

Organizations & group practices 4

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1790861532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S.MOON AVE, STE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115716",
            "telephone_number": "813-681-4644",
            "fax_number": "813-654-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PARSONS PARK DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116066",
            "telephone_number": "813-684-5255",
            "fax_number": "813-654-7457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S.Moon Ave, Ste 102",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115716",
            "country_code": "US",
            "telephone_number": "813-681-4644",
            "fax_number": "813-654-4486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARASIMHA",
        "first_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME78612",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME0078612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.R.MEDICARE",
            "identifier": "020048190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL",
            "identifier": "01109",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "271810",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5796380",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264791500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "49887",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "7401818005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "219857",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5599677",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.