Individual provider Active NPI

Arkady Vaknansky, MD

  • Pulmonary Disease Physician
  • Palmetto Bay, FL
National Provider Identifier
1801816608
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME101462 Issued in FL
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

Updated by the provider on Nov 13, 2020

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 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

IdentifierTypeStateIssuer
02290471MedicaidNY
105938500MedicaidFL

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
I20090223000536 FL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 9436041803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prager Simon and Associates LLPGroup PAC ID 0143211920, 8 clinicians

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

OrganizationSpecialtyStatusNew patients
Professional Healthcare Associates LLC Pulmonary Disease CurrentSince Oct 1, 2020 Accepting new patients
Prager Simon & Associates LLP CurrentSince Oct 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.