Active NPI
Tanuja Tirunagari Vedere, M.D
- Allergy & Immunology Physician
- Port St Lucie, FL
National Provider Identifier
1346237104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- ME76026
- Practice address
- 1801 SE Hillmoor Dr
C107
Port St Lucie, FL 34952-7553 - Phone
- (772) 335-7888
- Fax
- (772) 335-0331
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | ME76026 | FL | Primary |
Addresses
Primary practice location
1801 SE Hillmoor Dr
C107
Port St Lucie, FL 34952-7553
Mailing address
PO Box 1903
Hobe Sound, FL 33475-1903
Phone (772) 335-7888
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1801 SE Hillmoor Dr
Suite C 107
Port Saint Lucie, FL 34952-7551
Phone (772) 335-7888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME76026 | FL | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Specialists of Palm Beaches | Allergy & Immunology | Current | Accepting new patients |
Locations
1801 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 398-9911
1801 SE Hillmoor Dr
Ste C-107
Port St Lucie, FL 34952
Phone (407) 461-4834
Interoperability endpoints
- tanujavedere@1788.mdlanddirect.com
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 and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Port St Lucie, FL
- NPI 1962774018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1346237104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1903",
"city": "HOBE SOUND",
"state": "FL",
"postal_code": "334751903",
"telephone_number": "772-335-7888",
"fax_number": "772-335-0331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 SE HILLMOOR DR",
"address_2": "C107",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527553",
"telephone_number": "772-335-7888",
"fax_number": "772-335-0331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEDERE",
"first_name": "TANUJA",
"middle_name": "TIRUNAGARI",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "ME76026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- 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.