Active NPI
Vidhyalakshmi V Jaishankar, M.D.
- Child & Adolescent Psychiatry Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- ME119998
- Practice address
- 1573 W Fairbanks Ave Ste 100
Winter Park, FL 32789 - Phone
- (407) 896-8097
- Fax
- (407) 898-8328
- NPI assigned
- Sep 15, 2006
- Last updated
- Aug 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35088297 | OH | |
| Psychiatry Physician | 2084P0800X | ME119998 | FL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 35088297 | OH | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME119998 | FL | Primary |
Addresses
Primary practice location
1573 W Fairbanks Ave Ste 100
Winter Park, FL 32789
Mailing address
1573 W Fairbanks Ave Ste 100
Winter Park, FL 32789-4679
Phone (407) 896-8097
Other practice location 1
526 W Lake Mary Blvd
Sanford, FL 32773-7467
Phone (800) 614-4124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014226400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
35 Memorial Dr
Pinehurst, NC 28374-8708
Phone (910) 715-3376
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.64 of 100
- Quality
- 94.98
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 94.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35088297 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Psychiatry | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Asana Integrated Medical Group PC | Psychiatry | Current | Accepting new patients |
| MCPC-11, LLC | Current | Accepting new patients | |
| Coastal Mental Health Center Inc | Past | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376
Networks
- Freedom Health HMO Network
Interoperability endpoints
- vjaishankar73877@adventhealth.direct-ci.com
Organizations & group practices 5
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
- Orlando, FL
- NPI 1225034234
Psychiatry
-
dba FirstHealth Behavioral Services
- Adult Mental Health Clinic/Center
- Pinehurst, NC
- NPI 1841635455
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Community/Behavioral Health Agency
- Sanford, FL
- NPI 1154594950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1801992482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 W FAIRBANKS AVE STE 100",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894679",
"telephone_number": "407-896-8097",
"fax_number": "407-898-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1573 W FAIRBANKS AVE STE 100",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-896-8097",
"fax_number": "407-898-8328"
}
],
"practiceLocations": [
{
"address_1": "526 W Lake Mary Blvd",
"address_purpose": "LOCATION",
"city": "Sanford",
"state": "FL",
"postal_code": "327737467",
"country_code": "US",
"telephone_number": "800-614-4124",
"fax_number": "407-878-3789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAISHANKAR",
"first_name": "VIDHYALAKSHMI",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35088297",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME119998",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "35088297",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME119998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014226400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.