Shevanti Manjula Jegasothy, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0071046 Issued in FL

Practice address

135 San Lorenzo Ave Ste 870
Coral Gables, FL 33146-1879

Phone

(305) 569-0067

Fax

(305) 569-0110

NPI assigned

Jul 18, 2006

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

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1639197288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SAN LORENZO AVE STE 870",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461879",
            "telephone_number": "305-569-0067",
            "fax_number": "305-569-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SAN LORENZO AVE STE 870",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461879",
            "telephone_number": "305-569-0067",
            "fax_number": "305-569-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEGASOTHY",
        "first_name": "SHEVANTI",
        "middle_name": "MANJULA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0071046",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0071046",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255140300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2292815",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jean-Baptiste, MSW
• Sherleen Jean-Gilles
• Daphney Jean
• Samantha Leigh Jean, AU.D.
• Charles Ange Jeanpierre, MD
• Hilary Katherine Jemeson, LMFT, LMHC, LPC
• Symone Alexis Jenkins
• Jenny Medical Center Inc
• Jenny P Caceres D C P a
• Aarti Jerath, MD

• Specialist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.