R K VISHEN MD P A
NPI 1912011511
Internal Medicine in Orange Park, FL
About R K Vishen Md P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
R K VISHEN MD P A (NPI 1912011511) is a healthcare organization registered as an internal medicine in Orange Park, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 6, 2028 and lists R. K. Vishen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
R K Vishen Md P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to R K Vishen MD P A, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D1087594
R K Vishen MD PA · Orange Park, FLFrequently 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 R K Vishen MD P A's NPI number?
The NPI number for R K Vishen MD P A is 1912011511. It was assigned to this organization in the NPPES registry on August 19, 2006.
Where is R K Vishen MD P A located?
R K Vishen MD P A is located at 108 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 388-3351.
What is R K Vishen MD P A's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is R K Vishen MD P A enrolled in Medicare?
Yes. R K Vishen MD P A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through R K Vishen MD P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to R K Vishen MD P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7) and Internal Medicine (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does R K Vishen MD P A hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1087594) is associated with this NPI, valid through August 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for R K Vishen MD P A was last updated on December 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# R K Vishen Md P A · NPI 1912011511
Internal Medicine organization in Orange Park, Florida. Organization record, active in the CMS NPPES registry since August 19, 2006.
## Identity
- **NPI:** 1912011511 (Entity type: Organization)
- **Enumerated:** August 19, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** R. Vishen, PRESIDENT
## Practice location
- **Address:** 108 KINGSLEY AVE, Orange Park, FL 32073-5685
- **Phone:** (904) 388-3351
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Internal Medicine (2); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2013
- **Other identifiers:** Medicare PIN AG343 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912011511) · Data from the CMS NPPES public registry.