Individual provider Active NPI

Anastasia Seeram, PA-C

  • Physician Assistant
  • Vero Beach, FL
National Provider Identifier
1699968602
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108703 Issued in FL
Practice address
777 37TH St Ste C101
Vero Beach, FL 32960-7301
Phone
(772) 360-1997
Fax
(772) 492-3541
NPI assigned
Aug 22, 2007
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011753 NY
Physician Assistant 363A00000X PA9108703 FL Primary

Addresses

Primary practice location

777 37TH St Ste C101
Vero Beach, FL 32960-7301

Mailing address

777 37TH St Ste C101
Vero Beach, FL 32960-7301
Phone (772) 360-1997

Other practice location 1

5200 Babcock St NE Ste 111
Palm Bay, FL 32905-4639
Phone (772) 360-1997

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161014001635 FL Practitioner - Physician Assistant 5395826341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011753NYMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Spine and Pain Institute LLC CurrentSince May 1, 2022 Accepting new patients
Interventional Spine and Pain Institute LLC CurrentSince May 1, 2022 Accepting new patients
Queens Long Island Medical Group, P.C. Past Accepting new patients

Locations

6559 N Wickham Rd
Ste C102
Melbourne, FL 32940
Phone (772) 360-1997

5200 Babcock St NE
Ste 111
Palm Bay, FL 32905
Phone (321) 952-4445

777 37th St
Ste C101
Vero Beach, FL 32960
Phone (772) 360-1997

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: anastasia.seeram.p2@direct.painreliefcenters.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DJDGCD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1699968602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 37TH ST STE C101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607301",
            "telephone_number": "772-360-1997",
            "fax_number": "772-492-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 37TH ST STE C101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607301",
            "telephone_number": "772-360-1997",
            "fax_number": "772-492-3541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Babcock St NE Ste 111",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329054639",
            "country_code": "US",
            "telephone_number": "772-360-1997",
            "fax_number": "772-492-3541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEERAM",
        "first_name": "ANASTASIA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011753",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.