Individual provider Active NPI

Soundarapandian Baskar, MD

  • Gastroenterology Physician
  • Tavares, FL
National Provider Identifier
1952390288
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME93145 Issued in FL
Practice address
1703 Mayo Dr
Tavares, FL 32778-4307
Phone
(352) 383-5200
Fax
(352) 383-3534
NPI assigned
Oct 19, 2005
Last updated
May 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME93145 FL Primary

Addresses

Primary practice location

1703 Mayo Dr
Tavares, FL 32778-4307

Mailing address

PO Box 1345
Mount Dora, FL 32756-1345
Phone (352) 383-5200

Other identifiers 1

IdentifierTypeStateIssuer
273964000MedicaidFL

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
I20051201000123 FL Practitioner - Gastroenterology 4385626068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Gastroenterology Associates LLCGroup PAC ID 3173708484, 7 clinicians

Practice addresses (Care Compare)

1858 Mayo Dr
Tavares, FL 32778-4320
Phone (352) 383-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy566
Upper gastrointestinal (GI) endoscopy for acid reflux711

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Gastroenterology Associates LLC Gastroenterology CurrentSince Apr 21, 2011 Accepting new patients
Villages Pathology Laboratory LLC PastSince May 29, 2008 Accepting new patients
Tavares Surgery LLC PastSince Sep 5, 2012 Accepting new patients

Locations

620 S Lake St
Ste 5
Leesburg, FL 34748
Phone (352) 383-5200

1703 Mayo Dr
Tavares, FL 32778
Phone (352) 383-5200

1858 Mayo Dr
Tavares, FL 32778
Phone (352) 383-5200

910 Old Camp Rd
Ste 152
The Villages, FL 32162
Phone (352) 383-5200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sbaskar563392@direct.shands.ufl.edu
  • Direct secure messaging: soundarapandian.baskar@lakegastro.eclinicaldirectplus.com

Organizations & group practices 3

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 5

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1952390288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1345",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327561345",
            "telephone_number": "352-383-5200",
            "fax_number": "352-383-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 MAYO DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784307",
            "telephone_number": "352-383-5200",
            "fax_number": "352-383-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKAR",
        "first_name": "SOUNDARAPANDIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME93145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273964000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.