PRABHAV VASISTHA MBBS
NPI 1801400148
Internal Medicine - Critical Care Medicine in Jacksonville, FL

Active since September 03, 2020PECOS EnrolledAccepts Medicare Assignment
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2023, May 6, 2023, Sep 3, 2020 (3 updates tracked since 2020).

About Prabhav Vasistha Mbbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRABHAV VASISTHA MBBS (NPI 1801400148) is an individual critical care medicine provider in Jacksonville, Florida, licensed in Florida (ME162556) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1801400148
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NamePRABHAV VASISTHACredential: MBBS
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 3, 2020
Last NPPES UpdateJuly 6, 20233 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
NPI 1801400148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in FL · ME162556
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
4500 SAN PABLO RD S, Jacksonville, FL 32224

Secondary Practice Location 1

Location 1University of Arkansas for Medical Sciences, 4301 West Markham, Slot 634Little Rock, AR 72205 · Phone (501) 686-5162

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Prabhav Vasistha Mbbs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416361563
PECOS Enrollment IDI20260513003017
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210001
Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Orthopaedic Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Hospitalist
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prabhav Vasistha's NPI number?

The NPI number for Prabhav Vasistha is 1801400148. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Prabhav Vasistha located?

Prabhav Vasistha practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.

What is Prabhav Vasistha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Prabhav Vasistha enrolled in Medicare?

Yes. Prabhav Vasistha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Prabhav Vasistha affiliated with any hospitals?

According to CMS data, Prabhav Vasistha is affiliated with Meritus Medical Center.

When was this NPI record last updated?

The NPPES record for Prabhav Vasistha was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.