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

Kanaklakshmi Masodkar, MD

Individual provider Psychiatry Physician · NPI 1164860748

Kanaklakshmi Masodkar, MD is a Psychiatry in Saint Johns, Florida. Qualified in 2006, 20 years ago. Practices with Baptist Behavioral Health LLC, a 121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and South Carolina.

Years since qualifying
20
Licensed in
FL, SC
In the registry since
2013
Specialties on file
2
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

30 Ardisia Ln
Saint Johns, FL 32259-3881
Phone: (904) 376-3800
Fax: (904) 390-7458
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME164601 (FL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 40562 (SC)

Record details

NPI number1164860748
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 5, 2013
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Baptist Behavioral Health Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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