Active NPI
Quality Medical Care PA
- Interventional Cardiology Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- QUALITY MEDICAL CARE PA
- Practice address
- 675 S Babcock St
Melbourne, FL 32901-1459 - Phone
- (321) 951-8695
- Fax
- (321) 956-8937
- NPI assigned
- Sep 12, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Subash K Thareja, MD
- Title
- President
- Phone
- (321) 951-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | FL | Primary |
Addresses
Primary practice location
675 S Babcock St
Melbourne, FL 32901-1459
Mailing address
675 S Babcock St
Melbourne, FL 32901-1459
Phone (321) 951-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253423100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0878114 | Quality Medical Care PA | Certificate of waiver | Oct 17, 2027 |
| 10D0878124 | Quality Medical Care PA | Certificate of waiver | Oct 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
675 S Babcock St
Ste 200
Melbourne, FL 32901
675 S Babcock St
#1
Melbourne, FL 32901
675 S Babcock St
Ste 10
Melbourne, FL 32901
675 S Babcock St
Ste 1
Melbourne, FL 32901
Phone (321) 951-1010
5200 Babcock St NE
Ste 106
Palm Bay, FL 32905
Interoperability endpoints
- https://api.platform.athenahealth.com/11690/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Melbourne, FL
- NPI 1932194420
-
- Internal Medicine Physician
- Palm Bay, FL
- NPI 1932176344
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1861486854
-
- Nurse Practitioner
- Melbourne, FL
- NPI 1487217063
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1841284858
-
- Cardiovascular Disease Physician
- Melbourne, FL
- NPI 1609851245
-
- Diagnostic Radiology Physician
- Melbourne, FL
- NPI 1275521163
-
- Adult Health Nurse Practitioner
- Melbourne, FL
- NPI 1558807669
-
- Physician Assistant
- Melbourne, FL
- NPI 1760969513
-
- Nurse Practitioner
- Orlando, FL
- NPI 1346913787
-
- Nurse Practitioner
- Palm Bay, FL
- NPI 1114755840
-
- Dermatology Physician
- Melbourne, FL
- NPI 1083148589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470096000000",
"number": "1114912607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 S BABCOCK ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011459",
"telephone_number": "321-951-1010",
"fax_number": "321-952-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 S BABCOCK ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011459",
"telephone_number": "321-951-8695",
"fax_number": "321-956-8937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY MEDICAL CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-12",
"last_updated": "2016-08-02",
"status": "A",
"authorized_official_last_name": "THAREJA",
"authorized_official_first_name": "SUBASH",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-951-1010",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253423100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.