Jacqueline Megan Bejtullahu, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

170502 Issued in FL

Practice address

1301 Plantation Island Dr S Ste 404
St Augustine, FL 32080-3118

Phone

(904) 461-1560

NPI assigned

Apr 2, 2015

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: jbejtullahu739939@direct.shands.ufl.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ancient City Pediatrics

  dba DBA Sunshine Pediatrics of St Augustine

  • Pediatrics Physician
  • St Augustine, FL
  • NPI 1053598292
  NPD (past)

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1447645718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 404",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803118",
            "telephone_number": "904-461-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 404",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803118",
            "telephone_number": "904-461-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJTULLAHU",
        "first_name": "JACQUELINE",
        "middle_name": "MEGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "294469",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "170502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmegan.bejtullahu@nychhc.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3424 Kossuth Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104672410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Douglas Robert Becker, DPT
• Tyler Joseph Becker
• Maci Bedard, MSW, RCSWI
• Behavior Analysis Support Services, Inc
• Kristin Mary Beil, LMHC
• Bryan W. Bell, ,CHIROPRACTOR, P.A.
• Hannah Bell, ARNP
• Hope A. Bell, PTA
• Jennifer Bell
• Rebekah Bell, M.S.

• Pediatrics Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.

Verify at the official NPI Registry.