Individual provider Active NPI

Keya Pandya, PA-C

  • Medical Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1376112235
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9114544 Issued in FL
Practice address
2150 S Andrews Ave Ste 100
Fort Lauderdale, FL 33316-3496
Phone
(954) 463-6408
Fax
(954) 463-1858
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9114544 FL Primary

Addresses

Primary practice location

2150 S Andrews Ave Ste 100
Fort Lauderdale, FL 33316-3496

Mailing address

70 Endicott St Unit 1106
Norwood, MA 02062-3047
Phone (317) 728-6910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210713003855 FL Practitioner - Physician Assistant 7113329103 Reassigns benefits to 1 organization
I20260104000236 GA Practitioner - Physician Assistant 7113329103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urological Associates of Savannah, PCGroup PAC ID 6204748957, 16 clinicians

Practice addresses (Care Compare)

230 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 790-4000

Hospital & facility affiliations

  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urological Associates of Savannah, PC CurrentSince Dec 1, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Jul 26, 2021 Accepting new patients
Millennium Physician Group LLC CurrentSince Jul 26, 2021 Accepting new patients

Locations

12995 S Cleveland Ave
Ste 184
Fort Myers, FL 33907
Phone (239) 226-2727

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

230 E Derenne Ave
Savannah, GA 31405
Phone (912) 790-4000

Interoperability endpoints

  • Direct secure messaging: keyapandya@fyc.medalliesdirect.net
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.153

Organizations & group practices 3

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 1

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1376112235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ENDICOTT ST UNIT 1106",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623047",
            "telephone_number": "317-728-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S ANDREWS AVE STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163496",
            "telephone_number": "954-463-6408",
            "fax_number": "954-463-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "KEYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9114544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.