NPIMap

Organization Active NPI

Thakkar Patel & Avalos MD's LLC

  • Gastroenterology Physician
  • Sebring, FL
National Provider Identifier
1972565612
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
THAKKAR PATEL & AVALOS MD'S LLC
Practice address
3581 S Highlands Ave
Sebring, FL 33870-5410
Phone
(863) 385-5129
Fax
(863) 385-7162
NPI assigned
Apr 6, 2006
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Vinod C Thakkar, M.D.NPI 1497717185
Title
President
Phone
(863) 385-5129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3581 S Highlands Ave
Sebring, FL 33870-5410

Mailing address

3581 S Highlands Ave
Sebring, FL 33870-5410
Phone (863) 385-5129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051130000740 FL Part B Supplier - Clinic/Group Practice 5294755617 Receives reassigned benefits from 32 practitioners
Practice locations: Sebring, FL

National Provider Directory

National Provider Directory

Locations

1009 Sebring Pkwy
Sebring, FL 33870

1009 Sebring Pkwy
Ste 101
Sebring, FL 33870
Phone (863) 385-5179

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1972565612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3581 S HIGHLANDS AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705410",
            "telephone_number": "863-385-5129",
            "fax_number": "863-385-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 S HIGHLANDS AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705410",
            "telephone_number": "863-385-5129",
            "fax_number": "863-385-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAKKAR PATEL & AVALOS MD'S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "VINOD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-385-5129",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.