Individual provider Active NPI

Vaibhav Moondra, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Safety Harbor, FL
National Provider Identifier
1831167824
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME113819 Issued in FL
Practice address
1840 Mease Dr
Ste 200
Safety Harbor, FL 34695-6602
Phone
(727) 724-8611
NPI assigned
Mar 8, 2006
Last updated
Sep 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X ME113819 FL Primary

Addresses

Primary practice location

1840 Mease Dr
Ste 200
Safety Harbor, FL 34695-6602

Mailing address

1840 Mease Dr
Ste 200
Safety Harbor, FL 34695-6602
Phone (727) 724-8611

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
I20120816000311 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9032115308 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

1840 Mease Dr
Suite 200
Safety Harbor, FL 34695-6604
Phone (727) 725-6005

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526

455 Pinellas St
Clearwater, FL 33756-3367

455 Pinellas St
Clearwater, FL 33756-3369

6633 Forest Ave
New Port Richey, FL 34653-2612

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Ekg Interpreters Inc CurrentSince Jan 5, 2013 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Morton Plant Mease Diagnostic Cardiology LLC CurrentSince Nov 1, 2015 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Morton Plant Mease Health Services, Inc CurrentSince Feb 19, 2018 Accepting new patients
MPM Cardiology Services LLC Past Accepting new patients
Coastal Cardiology Consultants PA Past Accepting new patients
Evans Medical Foundation, Inc. Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Bldg 2ND
Clearwater, FL 33759

455 Pinellas St
Ste 330
Clearwater, FL 33756
Phone (727) 489-2550

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

646 Virginia St
Ste 200
Dunedin, FL 34698
Phone (727) 724-0425

6633 Forest Ave
Ste 205
New Port Richey, FL 34653
Phone (727) 375-2849

6633 Forest Ave
Ste 300
New Port Richey, FL 34653
Phone (727) 376-0612

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

1840 Mease Dr
Ste 200
Safety Harbor, FL 34695
Phone (727) 724-6500

1840 Mease Dr
Ste 404
Safety Harbor, FL 34695
Phone (727) 712-0980

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: vaibhav.moondra@direct.mybaycare.org

Organizations & group practices 9

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 3

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1831167824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "STE 200",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-724-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "STE 200",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-724-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONDRA",
        "first_name": "VAIBHAV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME113819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.