Nitin Bawa, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME91017 Issued in FL

Legal business name

NITIN BAWA, PA

Practice address

4476 Legendary Dr Ste 100
Destin, FL 32541-5347

Phone

(850) 424-7320

Fax

(850) 424-7322

NPI assigned

Dec 4, 2007

Last updated

Sep 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nitin Bawa, M.D.NPI 1972536266

Title

Physician

Phone

(850) 534-4170

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nitin Bawa, M.D.

  • Internal Medicine Physician
  • Destin, FL
  • NPI 1972536266
  Medicare reassignment NPD Authorized official
• Kara Madonna Hyman, APRN

  • Family Nurse Practitioner
  • Destin, FL
  • NPI 1023328408
  Medicare reassignment NPD
• Lisa S Moore, ARNP, DNP

  • Family Nurse Practitioner
  • Destin, FL
  • NPI 1730240326
  Medicare reassignment NPD
• Keri J Jones Matheus, W.H.N.P.

  • Women's Health Nurse Practitioner
  • Santa Rosa Beach, FL
  • NPI 1083687586
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1588846257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4476 LEGENDARY DR STE 100",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415347",
            "telephone_number": "850-424-7320",
            "fax_number": "850-424-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4476 LEGENDARY DR STE 100",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415347",
            "telephone_number": "850-424-7320",
            "fax_number": "850-424-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITIN BAWA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "BAWA",
        "authorized_official_first_name": "NITIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-534-4170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UP310",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270726800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131324400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K8627",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis Hunter Nelson, PT, DPT
• Janet Newman, PTA
• Ann Thuy Nguyen, M.D.
• Nhan T Nguyen, PHARMACIST
• Alejandro Andres Nieves Montalvo, DMD
• Marcheta S Nix, OT
• Amira Ann Noles, M.D.
• Mary Brandon Norman, PHARM. D.
• North Florida Surgeons, PA (North Florida Surgeons Orthopaedic Associates, LLC)
• North Florida Surgeons, PA (North Florida Surgeons Bluewater Orthopedics, LLC)

• Internal Medicine Physician in Destin, FL
• Providers in Destin, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.