Individual provider Active NPI

Mehnaz A Junagadhwalla, MD

  • Medical Oncology Physician
  • Englewood, FL
National Provider Identifier
1154512705
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME100788 Issued in FL
Practice address
714 Doctors Dr
Englewood, FL 34223-3992
Phone
(941) 460-1300
Fax
(941) 460-1306
NPI assigned
Aug 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X ME100788 FL
Medical Oncology Physician 207RX0202X ME100788 FL Primary

Addresses

Primary practice location

714 Doctors Dr
Englewood, FL 34223-3992

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other identifiers 1

IdentifierTypeStateIssuer
280402600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000374 FL Practitioner - Medical OncologyPractitioner - Hematology 3375629280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

1390 Grand Venture Dr
North Port, FL 34286-2309
Phone (941) 257-2280

1941 Waldemere St
FL 4
Sarasota, FL 34239-2922
Phone (941) 957-1000

22395 Edgewater Dr
Florida Cancer Specialists P L
Port Charlotte, FL 33980-2012
Phone (941) 766-7222

2848 Ctr Pointe Dr
FL 1
Fort Myers, FL 33916-9521
Phone (239) 561-9622

2890 Ctr Pointe Dr
Fort Myers, FL 33916-9521

5500 Pinebrook Rd
Suite 202
North Venice, FL 34275-3678
Phone (941) 408-0500

600 N Cattleman Road
200 Florida Cancer Specialists P L
Sarasota, FL 34232-6422
Phone (941) 377-9993

714 Doctors Dr
Englewood, FL 34223-3992
Phone (941) 460-1300

901 Tamiami TRL S
Suite A2
Venice, FL 34285-3668
Phone (941) 484-3531

9320 State Rd
Suite 54
Trinity, FL 34655-1808
Phone (727) 842-8411

Hospital & facility affiliations

  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC Hematology CurrentSince Feb 18, 2008 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology Past Accepting new patients

Locations

714 Doctors Dr
Englewood, FL 34223
Phone (941) 460-1300

4371 Veronica S Shoemaker Blvd
Fl Cancer
Fort Myers, FL 33916

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

5500 Pinebrook Rd
Ste 202
North Venice, FL 34275
Phone (941) 408-0500

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

901 Tamiami Trl S
Ste A2
Venice, FL 34285
Phone (941) 484-3531

901 Tamiami Trl S
Venice, FL 34285
Phone (941) 484-3531

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1154512705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200",
            "fax_number": "239-278-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 DOCTORS DR",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233992",
            "telephone_number": "941-460-1300",
            "fax_number": "941-460-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNAGADHWALLA",
        "first_name": "MEHNAZ",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME100788",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME100788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280402600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

Verify at the official NPI Registry.