Individual provider Active NPI

Vinayak Thakur, M.D.

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1962834671
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME135034 Issued in FL
Practice address
14551 Hope Center Loop Ste 100
Fort Myers, FL 33912-4705
Phone
(239) 936-2316
Fax
(239) 936-3099
NPI assigned
Aug 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT203710 PA
Diagnostic Radiology Physician 2085R0202X MT203710 PA
Diagnostic Radiology Physician 2085R0202X 22865 WI
Vascular & Interventional Radiology Physician 2085R0204X ME135034 FL
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X ME135034 FL Primary

Addresses

Primary practice location

14551 Hope Center Loop Ste 100
Fort Myers, FL 33912-4705

Mailing address

3660 Broadway
Fort Myers, FL 33901-8005
Phone (239) 936-2316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180615002307 FL Practitioner - Diagnostic Radiology 2264787217 Reassigns benefits to 5 organizations
I20220819002454 WI Practitioner - Diagnostic Radiology 2264787217 Reassigns benefits to 2 organizations
I20230127001068 TX Practitioner - Diagnostic Radiology 2264787217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Medical Imaging PAGroup PAC ID 7618869900, 40 clinicians

Practice addresses (Care Compare)

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 267-6650

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT203710PAMDInternal Medicine Physician
22865WIMDDiagnostic Radiology Physician
ME135034FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Aug 19, 2019 Accepting new patients
Radiology Regional Center P a Diagnostic Radiology CurrentSince Nov 10, 2022 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Internal Medicine CurrentSince Aug 20, 2022 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Aug 6, 2018 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Aug 6, 2018 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
South Florida Medical Imaging, PA Diagnostic Radiology CurrentSince Feb 15, 2025 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Aug 20, 2022 Accepting new patients
Radiology Regional Center Professional Services LLC Diagnostic Radiology CurrentSince Nov 15, 2022 Accepting new patients
The Medical College of Wisconsin, Inc. Internal Medicine CurrentSince Jul 28, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Radiology Regional Center, PA Diagnostic Radiology PastSince Aug 28, 2021 Accepting new patients
Radiology Regional Center, PA Diagnostic Radiology PastSince Aug 28, 2021 Accepting new patients
Surgical Group of Miami LLC PastSince May 1, 2018 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology Past Accepting new patients

Locations (25 of 36)

9776 Bonita Beach Rd SE
Bonita Springs, FL 34135
Phone (239) 444-2200

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

1708 Cape Coral Pkwy W
Ste 3
Cape Coral, FL 33914
Phone (239) 541-3800

805 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 242-8010

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001

10201 Arcos Ave
Ste 101
Estero, FL 33928
Phone (239) 444-5800

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

3660 Broadway
Fort Myers, FL 33901
Phone (239) 424-1449

6100 Winkler Rd
Fort Myers, FL 33919

6140 Winkler Rd
Fort Myers, FL 33919

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

14551 Hope Center Loop
Ste 100
Fort Myers, FL 33912
Phone (399) 362-3162

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

1110 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 344-1000

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

700 Goodlette Rd
Naples, FL 34102
Phone (239) 430-1400

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

18300 Murdock Cir
Bldg 15
Port Charlotte, FL 33948
Phone (941) 255-7901

18300 Murdock Cir
Unit 101
Port Charlotte, FL 33948

1435 S Osprey Ave
Ste 201
Sarasota, FL 34239
Phone (941) 953-5917

6600 University Pkwy
Ste 102
Sarasota, FL 34240
Phone (941) 378-3231

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: vthakur4177676@direct.trinity-health.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1962834671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316",
            "fax_number": "239-936-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14551 HOPE CENTER LOOP STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124705",
            "telephone_number": "239-936-2316",
            "fax_number": "239-936-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "VINAYAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT203710",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT203710",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "22865",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME135034",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME135034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.