Individual provider Active NPI

Harish D Thaker, MD

  • Hospitalist Physician
  • Fort Lauderdale, FL
National Provider Identifier
1912971086
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME23527 Issued in FL
Practice address
1211 SE 2ND Ave
Ft Lauderdale, FL 33316-1807
Phone
(954) 524-6527
Fax
(954) 527-3732
NPI assigned
Feb 15, 2006
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME23257 FL
Hospitalist Physician 208M00000X ME23527 FL Primary

Addresses

Primary practice location

1211 SE 2ND Ave
Ft Lauderdale, FL 33316-1807

Mailing address

1905 N Riverside Dr
Pompano Beach, FL 33062-1221
Phone (954) 854-2951

Other identifiers 1

IdentifierTypeStateIssuer
057676000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address harish.thaker@fcn.eclinicaldirectplus.com

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
I20100525000844 FL Practitioner - HospitalistPractitioner - Neurology 1557490869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Neurology
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuroscience Consultants LLPGroup PAC ID 8729040670, 109 clinicians

Practice addresses (Care Compare)

1211 SE 2ND Ave
Fort Lauderdale, FL 33316-1807
Phone (954) 527-9303

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME23257FLMDNeurology Physician
ME23527FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Medical Group Inc Neurology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: harish.thaker@fcn.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/13023/brand/4/csg/1/fhir/r4

Organizations & group practices 2

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 1

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1912971086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 N RIVERSIDE DR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621221",
            "telephone_number": "954-854-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 SE 2ND AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161807",
            "telephone_number": "954-524-6527",
            "fax_number": "954-527-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKER",
        "first_name": "HARISH",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME23257",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME23527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057676000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "harish.thaker@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1211 SE 2nd Ave",
            "city": "Ft Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333161807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.