Active NPI
Meera Nirmal Menon, MD
- Surgery Physician
- Brandon, FL
National Provider Identifier
1710070818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME 95712
- Practice address
- 500 Vonderburg Dr
Suite 206E
Brandon, FL 33511-5964 - Phone
- (813) 684-8045
- Fax
- (813) 684-8046
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME 95712 | FL | Primary |
Addresses
Primary practice location
500 Vonderburg Dr
Suite 206E
Brandon, FL 33511-5964
Mailing address
500 Vonderburg Dr
Ste 206E
Brandon, FL 33511-5964
Phone (813) 684-8045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280048900 | Medicaid | FL |
Other names 1
- Dr. Meera Ayyanoor Veetekkat
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 95712 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Medical Center | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474
100 N Academy Ave
Danville, PA 17822
400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473
132 Abigail Ln
Port Matilda, PA 16870
Phone (814) 272-5011
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Family Medicine Physician
- Bellefonte, PA
- NPI 1467888628
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1588614358
-
- General Acute Care Hospital
- Danville, PA
- NPI 1235215427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1710070818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 VONDERBURG DR",
"address_2": "STE 206E",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115964",
"telephone_number": "813-684-8045",
"fax_number": "813-684-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 VONDERBURG DR",
"address_2": "SUITE 206E",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115964",
"telephone_number": "813-684-8045",
"fax_number": "813-684-8046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENON",
"first_name": "MEERA",
"middle_name": "NIRMAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME 95712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280048900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEERA",
"last_name": "VEETEKKAT",
"middle_name": "AYYANOOR",
"prefix": "DR.",
"credential": "MBBS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.