Individual provider Active NPI

Meera Ghayal, D.O.

  • Family Medicine Physician
  • Seffner, FL
National Provider Identifier
1720454259
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
UO4462 Issued in FL
Practice address
770 W Dr Martin Luther King Jr Blvd
Seffner, FL 33584-4534
Phone
(813) 654-7005
Fax
(813) 654-1050
NPI assigned
Aug 19, 2015
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X UO4462 FL Primary

Addresses

Primary practice location

770 W Dr Martin Luther King Jr Blvd
Seffner, FL 33584-4534

Mailing address

10051 5TH St N Ste 200
St Petersburg, FL 33702-2211
Phone (727) 824-0780

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190529000198 FL Practitioner - Family Practice 0446593818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16521 S US Hwy 301
TGH Urgent Care Powered by Fast Tra
Wimauma, FL 33598-2032
Phone (813) 928-1903

303 W Palm Ave
TGH Urgent Care Powered by Fast Tra
Tampa, FL 33602-2027
Phone (813) 925-1903

3251 66TH St N
TRH Urgent Care Powered by Fast Track
St Petersburg, FL 33710-1510
Phone (813) 925-1903

3301 W Gandy Blvd
Tampa, FL 33611-2931

4949 4TH St N
TGH Urgent Care Powered by Fast Track
St Petersburg, FL 33703-3800
Phone (813) 925-1903

7601 Seminole Blvd
TGH Urgent Care Powered by Fast Tra
Seminole, FL 33772-4868
Phone (813) 925-1903

799 W Lumsden Rd
TGH Urgent Care Powered by Fast Tra
Brandon, FL 33511-6261
Phone (813) 925-1903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
UO4462FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergic Healthcare Solutions LLC CurrentSince Jul 2, 2021 Accepting new patients
Tampa General Hospital Current Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Jul 2, 2021 Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mghayal189085@direct.tgh.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.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1720454259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 5TH ST N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022211",
            "telephone_number": "727-824-0780",
            "fax_number": "727-568-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W DR MARTIN LUTHER KING JR BLVD",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335844534",
            "telephone_number": "813-654-7005",
            "fax_number": "813-654-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAYAL",
        "first_name": "MEERA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "UO4462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seffner, FL

Sources for this page

Verify at the official NPI Registry.