Meera S Boppana, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

175209 Issued in NY

Practice address

104 15 101St Ave
Ozone Park, NY 11416

Phone

(718) 441-0660

Fax

(718) 847-1538

NPI assigned

Jan 26, 2006

Last updated

Jan 3, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIFEAA/Endpoint/FIFEAA

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.

• Chase Medical Clinic LLC

  • Primary Care Clinic/Center
  • Huntsville, AL
  • NPI 1811593197
  Medicare reassignment NPD
• Meera S. Boppana,MD.PC

  • Family Medicine Physician
  • Ozone Park, NY
  • NPI 1679745533
  NPD Authorized official
• Instant Medical Care, PC

  • Urgent Care Clinic/Center
  • Massapequa, NY
  • NPI 1548535271
  NPD (past)
• Southeastern Dermatology Group PA

  dba Dermatology Specialists

  • Dermatology Physician
  • Panama City, FL
  • NPI 1518972231
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1023088325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 38 UNION TURNPIKE",
            "address_2": "#12 E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-441-0660",
            "fax_number": "718-847-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 15 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "11416",
            "telephone_number": "718-441-0660",
            "fax_number": "718-847-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPPANA",
        "first_name": "MEERA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "175209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01305908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blvd Health Inc.
• BN RX Inc (Care Script Pharmacy)
• Veronica Bode
• Jenica Reshma Boodhram
• Valrie May Boothe, OCCUPATIONAL THERAPY
• Boulevard Dental
• Boulevard Dental, PC
• Boulevard Multispecialty Medical PC
• Richard Bourbeau
• Claudia F Bravo, MOT, OTR/L

• Family Medicine Physician in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.