Individual provider Active NPI

Akriti Dewanwala, MD

  • Gastroenterology Physician
  • Melbourne, FL
National Provider Identifier
1356573984
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME131783 Issued in FL
Practice address
8075 Spyglass Hill Rd Ste 101
Melbourne, FL 32940-8281
Phone
(321) 255-8008
Fax
(321) 255-8009
NPI assigned
Aug 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301106681 MI
Gastroenterology Physician 207RG0100X 4301106681 MI
Gastroenterology Physician 207RG0100X ME131783 FL Primary

Addresses

Primary practice location

8075 Spyglass Hill Rd Ste 101
Melbourne, FL 32940-8281

Mailing address

8075 Spyglass Hill Rd Ste 101
Melbourne, FL 32940-8281
Phone (321) 255-8008

Other identifiers 1

IdentifierTypeStateIssuer
021171500MedicaidFL

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
I20170724000963 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 2961722541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

250 N Wickham Rd
Melbourne, FL 32935-8625
Phone (321) 752-1200

32 W Gore St
Orlando, FL 32806-1134

Hospital & facility affiliations

  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy89
Upper gastrointestinal (GI) endoscopy for acid reflux161

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jul 15, 2017 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Steward Medical Group, Inc. Internal Medicine CurrentSince Jul 15, 2017 Accepting new patients
Stewart and Stewart a Medical Corporation Internal Medicine Past Accepting new patients

Locations

8075 Spyglass Hill Rd
Ste 101
Melbourne, FL 32940
Phone (321) 255-8008

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

77 Warren St
Brighton, MA 02135
Phone (617) 254-1271

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 6

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": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1356573984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 SPYGLASS HILL RD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408281",
            "telephone_number": "321-255-8008",
            "fax_number": "321-255-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 SPYGLASS HILL RD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408281",
            "telephone_number": "321-255-8008",
            "fax_number": "321-255-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWANWALA",
        "first_name": "AKRITI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-16",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301106681",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301106681",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME131783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021171500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.