Individual provider Active NPI

Meera Surujdai Beharry, M.D.

  • Pediatric Adolescent Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1447403340
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
ME147988 Issued in FL
Practice address
16 Harbour Isle Dr W Unit PH01
Fort Pierce, FL 34949-2768
Phone
(254) 718-7559
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 228681 NY
Pediatric Adolescent Medicine Physician 2080A0000X P4286 TX
Pediatric Adolescent Medicine Physician 2080A0000X ME147988 FL Primary

Addresses

Primary practice location

16 Harbour Isle Dr W Unit PH01
Fort Pierce, FL 34949-2768

Mailing address

PO Box 4455
Fort Pierce, FL 34948-4455
Phone (254) 718-7559

Other practice location 1

245 5th Ave Fl 3
New York, NY 10016-8728
Phone (254) 718-7559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120917000629 TX Practitioner - Pediatric MedicinePractitioner - Other (Physician) 5890970511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME147988FLMDPediatric Adolescent Medicine Physician
228681NYMDPediatric Adolescent Medicine Physician

Interoperability endpoints

  • Direct secure messaging: mbeharry11453@direct.sw.org
  • Direct secure messaging: meera.beharry@3877.securemail.prognocis.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1447403340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4455",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349484455",
            "telephone_number": "254-718-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HARBOUR ISLE DR W UNIT PH01",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349492768",
            "telephone_number": "254-718-7559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 5th Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100168728",
            "country_code": "US",
            "telephone_number": "254-718-7559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHARRY",
        "first_name": "MEERA",
        "middle_name": "SURUJDAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "228681",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "P4286",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME147988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.