Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bashyam Iyengar, MD

Individual provider Family Medicine Physician · NPI 1205137403

Bashyam Iyengar, MD is a Family Practice in Jacksonville, Florida. Qualified in 2004, 22 years ago. Practices with St Vincents Medical Center Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Florida, New Jersey, New York and Washington.

Years since qualifying
22
Licensed in
FL, NJ, NY, WA
In the registry since
2010
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1760 Edgewood Ave W Ste B Ste B
Jacksonville, FL 32208-7209
Phone: (904) 358-8480
Fax: (904) 358-8460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME110643 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25MA08303600 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 255281-1 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD60189759 (WA)

Record details

NPI number1205137403
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 4, 2010
Last updated in NPPESMay 22, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice St Vincents Medical Center Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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