Active NPI
Ashutosh Ashok Pradhan, MD
- Neurological Surgery Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME95743
- Practice address
- 14540 Old Saint Augustine Rd Ste 2207
Jacksonville, FL 32258-7419 - Phone
- (904) 388-6518
- Fax
- (904) 384-1005
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ME95743 | FL | Primary |
Addresses
Primary practice location
14540 Old Saint Augustine Rd Ste 2207
Jacksonville, FL 32258-7419
Mailing address
PO Box 746647
Atlanta, GA 30374-6647
Phone (904) 202-2092
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- H2 Rehabilitation Services of Florida LLC
Practice addresses (Care Compare)
14546 Old Saint Augustine Rd
Suite 409
Jacksonville, FL 32258-5473
Phone (904) 388-6518
484 Riverside Ave
Jacksonville, FL 32202-4912
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center - Nassau
- Baptist Medical Center Beaches
- Ascension St Vincent'S Riverside
- Brooks Rehabilitation Hospital University Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 240 |
| Laminectomy or laminotomy (partial removal of spine bones) | 96 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyerly Baptist Inc | Neurological Surgery | Current | Accepting new patients |
Locations
14540 Old St Augustine Rd
Ste 2207
Jacksonville, FL 32258
Phone (904) 224-8090
14546 Old St Augustine Rd
Ste 409
Jacksonville, FL 32258
Phone (904) 880-6533
1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041
Interoperability endpoints
- apradhan164151@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1851347801
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1982648432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746647",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746647",
"telephone_number": "904-202-2092",
"fax_number": "904-376-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14540 OLD SAINT AUGUSTINE RD STE 2207",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322587419",
"telephone_number": "904-388-6518",
"fax_number": "904-384-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADHAN",
"first_name": "ASHUTOSH",
"middle_name": "ASHOK",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME95743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.