Active NPI
Vijay Narasimha, MD
- Surgery Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME78612
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020048190 | Other | R.R.MEDICARE | |
| 01109 | Other | UNIVERSAL | |
| 271810 | Other | AVMED | |
| 5796380 | Other | GHI | |
| 264791500 | Medicaid | FL | |
| 49887 | Other | BLUECROSS/BLUESHIELD | |
| 7401818005 | Other | CIGNA HMO | |
| 219857 | Other | AMERIGROUP | |
| 5599677 | Other | AETNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 135 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME78612 | FL | MD | Surgery Physician |
| ME0078612 | FL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palanisamy Rathinasamy MD PA | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Surgery | Current | Accepting new patients |
| Hyperbaric & Woundcare Inc | Current | Accepting new patients | |
| Hyperbaric & Woundcare Inc | Current | 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
- https://fhir.meditouchehr.com/api/fhir/r4/
- 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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Surgery
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Tampa, FL
- NPI 1457308173
-
dba Surgical Associates of Tampa Bay
- Specialist
- Brandon, FL
- NPI 1093851594
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Hazlehurst, GA
- NPI 1780105296
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Riverview
- General Acute Care Hospital
- Riverview, FL
- NPI 1699345314
-
dba Tampa General Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
-
dba AdventHealth Carrollwood
- General Acute Care Hospital
- Tampa, FL
- NPI 1427068345
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.