Sharad Vyas, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME33726 Issued in FL

Practice address

2186 Harris Ave NE
Palm Bay, FL 32905-4044

Phone

(321) 725-8111

Fax

(321) 984-0552

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: svyas71804@epicdirect.hf.org
• Direct secure messaging: sharadvyas@mab.medentdirect.com

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.

• Medical Associates of Brevard LLC

  • Multi-Specialty Clinic/Center
  • Melbourne, FL
  • NPI 1861400103
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1750367686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 HARRIS AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054044",
            "telephone_number": "321-725-8111",
            "fax_number": "321-984-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 HARRIS AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054044",
            "telephone_number": "321-725-8111",
            "fax_number": "321-984-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYAS",
        "first_name": "SHARAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME33726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037766000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thiennga Huynh Vo, PHARM D
• Lindsey Beth Voltaire
• Volunteers of America of Florida, Inc
• Siboney Miriel Carmen Voss
• Binh Vu, D.O.
• Wendy Wagner
• Tanesha Waite Gigandet
• Denise Troilo- Waite, MS, CCC-SLP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• Pediatrics Physician in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.