Individual provider Active NPI

Jillian Megaro

  • Physician Assistant
  • Coral Gables, FL
National Provider Identifier
1083032874
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4978 Issued in MA
Practice address
135 Madeira Ave
Coral Gables, FL 33134-4515
Phone
(305) 204-7992
Fax
(508) 213-3687
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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 PA4978 MA Primary

Addresses

Primary practice location

135 Madeira Ave
Coral Gables, FL 33134-4515

Mailing address

369 Waldoboro Rd
Bremen, ME 04551-3305
Phone (508) 308-8228

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA4978MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mikhail Novikov MD Past Accepting new patients
Skin Health Center Dermatology and Mohs Surgery PA Past Accepting new patients
Compass Dermatopathology, Inc. PastSince Jun 29, 2022 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1083032874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 WALDOBORO RD",
            "city": "BREMEN",
            "state": "ME",
            "postal_code": "045513305",
            "telephone_number": "508-308-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MADEIRA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344515",
            "telephone_number": "305-204-7992",
            "fax_number": "508-213-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGARO",
        "first_name": "JILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.