Individual provider Active NPI

Tanuja Tirunagari Vedere, M.D

  • Allergy & Immunology Physician
  • Port St Lucie, FL
National Provider Identifier
1346237104
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME76026 Issued in FL
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000713 FL Practitioner - Allergy/Immunology 2769640457 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
ME76026FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Specialists of Palm Beaches Allergy & Immunology CurrentSince Aug 1, 1998 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.