Active NPI
Meeru Devan Fendt, P.A.
- Medical Physician Assistant
- Sarasota, FL
National Provider Identifier
1417925751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA3677
- Practice address
- 1949 Northgate Blvd
Sarasota, FL 34234-2143 - Phone
- (941) 373-7844
- Fax
- (941) 373-7856
- NPI assigned
- Mar 11, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA3677 | FL | Primary |
Addresses
Primary practice location
1949 Northgate Blvd
Sarasota, FL 34234-2143
Mailing address
700 8TH Ave W
Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4008
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32315 | Other | FL | BCBS |
| 251641100 | Medicaid | FL |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angelheart LLC | Past | Accepting new patients | |
| Primehealth Urgent Care LLC | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Parrish, FL
- NPI 1023692043
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1982984134
-
- Urgent Care Clinic/Center
- Parrish, FL
- NPI 1023651825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1417925751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 8TH AVE W",
"address_2": "STE 101",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342214737",
"telephone_number": "941-776-4008",
"fax_number": "941-845-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1949 NORTHGATE BLVD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342342143",
"telephone_number": "941-373-7844",
"fax_number": "941-373-7856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENDT",
"first_name": "MEERU",
"middle_name": "DEVAN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-11",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA3677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "32315",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251641100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.