Active NPI
Jenakan Jeramian Dev, MD
- Hospitalist Physician
- Cocoa Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME150433
- Practice address
- 701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585 - Phone
- (321) 434-1771
- NPI assigned
- Apr 23, 2018
- Last updated
- Sep 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ME150433 | FL | Primary |
Addresses
Primary practice location
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 868-5871
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N2104 | Other | FL | MEDICARE |
| 110613400 | 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Phone (321) 799-7128
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grelin Health, Inc | Multi-Specialty | Current | Accepting new patients |
| Health First Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| Health First Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| A Helping Hands Physicians Group LLC | Multi-Specialty | Current | Accepting new patients |
| Whisperdove Health, Inc | Multi-Specialty | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111
6105 N Wickham Rd
Unit 410253
Melbourne, FL 32941
Phone (855) 204-8989
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
Interoperability endpoints
- jdev24793@epicdirect.hf.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Multi-Specialty
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1922649367
Multi-Specialty
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
Multi-Specialty
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
- Skilled Nursing Facility
- Rockledge, FL
- NPI 1295484749
Nursing home
-
- Skilled Nursing Facility
- Merritt Island, FL
- NPI 1679944268
Nursing home
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1548758857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "321-868-5871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W COCOA BEACH CSWY",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329313585",
"telephone_number": "321-434-1771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEV",
"first_name": "JENAKAN",
"middle_name": "JERAMIAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-23",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME150433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "N2104",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110613400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cocoa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.