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

Individual provider Family Medicine Physician · NPI 1174919872

Vinay Bhamidipati, MD is a Family Practice in Lauderdale Lakes, Florida. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Florida and Massachusetts.

Years since qualifying
12
Licensed in
FL, MA
In the registry since
2015
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

4900 W Oakland Park Blvd Ste 105
Lauderdale Lakes, FL 33313-1555
Phone: (954) 945-3530
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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 ME139011 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 277330 (MA)

Record details

NPI number1174919872
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2015
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023
Mailing address215 Se 8th Ave Apt 720, Ft Lauderdale, FL 33301-3885

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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