Active NPI
Arkady Vaknansky, MD
- Pulmonary Disease Physician
- Palmetto Bay, FL
National Provider Identifier
1801816608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME101462
- Practice address
- 9299 Coral Reef Dr Ste 203
Palmetto Bay, FL 33157-1776 - Phone
- (305) 234-9180
- Fax
- (305) 234-9182
- NPI assigned
- Jul 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME101462 | FL | Primary |
Addresses
Primary practice location
9299 Coral Reef Dr Ste 203
Palmetto Bay, FL 33157-1776
Mailing address
8950 SW 57TH Ave
Pinecrest, FL 33156-2133
Phone (305) 234-9180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02290471 | Medicaid | NY | |
| 105938500 | Medicaid | FL |
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
- Pulmonary Disease
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9299 SW 152ND St
Suite 203
Palmetto Bay, FL 33157-1776
Phone (305) 322-4116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Healthcare Associates LLC | Pulmonary Disease | Current | Accepting new patients |
| Prager Simon & Associates LLP | Current | Accepting new patients | |
| New York Community Hospital of Brooklyn, Inc. | Emergency Medicine | Past | Accepting new patients |
| University Group Medical Associates, P.C | Emergency Medicine | Past | Accepting new patients |
Locations
9299 SW 152nd St
Ste 203
Palmetto Bay, FL 33157
Phone (305) 234-9180
75 Remittance Dr
Dept 6997
Chicago, IL 60675
Interoperability endpoints
- arkady.vaknansky@hca4.eclinicaldirectplus.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 and National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Pinecrest, FL
- NPI 1467558817
-
- Pulmonary Disease Physician
- Pinecrest, FL
- NPI 1760660021
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1205840055
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1801816608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 SW 57TH AVE",
"city": "PINECREST",
"state": "FL",
"postal_code": "331562133",
"telephone_number": "305-234-9180",
"fax_number": "305-234-9182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9299 CORAL REEF DR STE 203",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331571776",
"telephone_number": "305-234-9180",
"fax_number": "305-234-9182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAKNANSKY",
"first_name": "ARKADY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME101462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02290471",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105938500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palmetto Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.