Individual provider Active NPI

Navya Miryala, PA-C

  • Physician Assistant
  • Cape Coral, FL
National Provider Identifier
1013865468
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9121546 Issued in FL
Practice address
2125 SE 16TH PL
Cape Coral, FL 33990-4703
Phone
(239) 458-1131
NPI assigned
Mar 20, 2026
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9121546 FL Primary

Addresses

Primary practice location

2125 SE 16TH PL
Cape Coral, FL 33990-4703

Mailing address

2125 SE 16TH PL
Cape Coral, FL 33990-4703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2125 SE 16TH PL
Cape Coral, FL 33990-4703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9121546FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfshore Dermatology at Coralwood, PA CurrentSince May 1, 2026 Accepting new patients

Locations

2125 SE 16th Pl
Cape Coral, FL 33990
Phone (239) 458-1131

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1013865468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 SE 16TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339904703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 SE 16TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339904703",
            "telephone_number": "239-458-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRYALA",
        "first_name": "NAVYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9121546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.