Active NPI
Vinaya S Koppikar, MD
- Psychiatry Physician
- North Miami, FL
National Provider Identifier
1992722730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME151277
- Practice address
- 1065 NE 125TH St
Ste 206
North Miami, FL 33161-5832 - Phone
- (305) 891-0050
- Fax
- (305) 891-0497
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME151277 | FL | Primary |
Addresses
Primary practice location
1065 NE 125TH St
Ste 206
North Miami, FL 33161-5832
Mailing address
1065 NE 125TH St
Ste 300
North Miami, FL 33161-5833
Phone (888) 852-6672
Other practice location 1
1601 N Palm Ave
Ste 211
Pembroke Pines, FL 33026-3204
Phone (954) 447-0010
Other practice location 2
10301 Hagen Ranch Rd
Ste B6
Boynton Beach, FL 33437-3723
Phone (561) 752-9490
Other practice location 3
7481 W. Oakland Park Blvd
Ste 100
Tamarac, FL 33319-3331
Phone (954) 771-7743
Other practice location 4
11440 N Kendall Dr.
Ste 208
Miami, FL 33176-1024
Phone (305) 279-5535
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260039342 | Other | MEDICARE RAILROAD | |
| 32510700 | Medicaid | WI | |
| 390808509 | Other | CT GENERAL | |
| 475887619 | Other | TRICARE | |
| 11766 | Other | DEAN HEALTH PLAN | |
| 390808509 | Other | CIGNA | |
| 90002361 | Other | WEA INS | |
| 390808509 | Other | WPS | |
| 39080850927 | Other | UNITY | |
| 1022445 | Other | PHYSICIANS PLUS | |
| 32510700 | Other | HIRSP | |
| 690004890 | Other | MEDICARE RAILROAD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vkoppikar4219@direct.monroeclinic.org | Direct | |
| FHIR URL | https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME151277 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QMC LLC | Past | Accepting new patients |
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.
-
- Hospitalist Physician
- Miami, FL
- NPI 1003216391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1992722730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 NE 125TH ST",
"address_2": "STE 300",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615833",
"telephone_number": "888-852-6672",
"fax_number": "305-891-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 NE 125TH ST",
"address_2": "STE 206",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615832",
"telephone_number": "305-891-0050",
"fax_number": "305-891-0497"
}
],
"practiceLocations": [
{
"address_1": "1601 N Palm Ave",
"address_2": "Ste 211",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330263204",
"country_code": "US",
"telephone_number": "954-447-0010",
"fax_number": "954-447-0899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10301 Hagen Ranch Rd",
"address_2": "Ste B6",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334373723",
"country_code": "US",
"telephone_number": "561-752-9490",
"fax_number": "561-752-9491",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7481 W. Oakland Park Blvd",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Tamarac",
"state": "FL",
"postal_code": "333193331",
"country_code": "US",
"telephone_number": "954-771-7743",
"fax_number": "954-771-7748",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11440 N Kendall Dr.",
"address_2": "Ste 208",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331761024",
"country_code": "US",
"telephone_number": "305-279-5535",
"fax_number": "305-279-2742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOPPIKAR",
"first_name": "VINAYA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME151277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "260039342",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32510700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT GENERAL",
"identifier": "390808509",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "475887619",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH PLAN",
"identifier": "11766",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "390808509",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEA INS",
"identifier": "90002361",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS",
"identifier": "390808509",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITY",
"identifier": "39080850927",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS PLUS",
"identifier": "1022445",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIRSP",
"identifier": "32510700",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "690004890",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vkoppikar4219@direct.monroeclinic.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "vkoppikar4219@direct.monroeclinic.org",
"address_1": "515 22nd Ave",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "515 22nd Ave",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.