Individual provider Active NPI

Megan Dawn Indermaur, M.D.

  • Gynecologic Oncology Physician
  • St Petersburg, FL
National Provider Identifier
1780697870
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
ME95893 Issued in FL
Practice address
2191 9TH Ave N Ste 120
St Petersburg, FL 33713-7147
Phone
(727) 826-0795
Fax
(727) 258-4863
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME 95893 FL
Gynecologic Oncology Physician 207VX0201X ME95893 FL Primary

Addresses

Primary practice location

2191 9TH Ave N Ste 120
St Petersburg, FL 33713-7147

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

600 Eighth Street South
Suite B
St. Petersburg, FL 33701
Phone (727) 826-0735

Other identifiers 2

IdentifierTypeStateIssuer
276133500MedicaidFL
56551OtherFLBLUE CROSS BLUE SHIELD

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
I20061207000054 FL Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 0749289478 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

2191 9TH Ave N
Suite 120
St Petersburg, FL 33713-7147
Phone (727) 826-0795

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of the uterus45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 95893FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince Oct 15, 2012 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Aug 8, 2018 Accepting new patients

Locations

515 S Kings Ave
Brandon, FL 33511
Phone (813) 681-9171

515 S Kings Ave
Ste 1100
Brandon, FL 33511
Phone (813) 413-5213

2191 9th Ave N
Ste 120
St Petersburg, FL 33713
Phone (727) 826-0795

600 8th St S
Ste 8
St Petersburg, FL 33701
Phone (727) 821-9688

3268 66th St N
St Petersburg, FL 33710
Phone (727) 456-0750

700 6th St S
Fl 2
St Petersburg, FL 33701
Phone (727) 893-6198

600 8th St S
Ste B
St Petersburg, FL 33701
Phone (727) 821-9688

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

4602 N Armenia Ave
Ste 300
Tampa, FL 33603
Phone (813) 878-2211

5002 W Lemon St
Tampa, FL 33609

5016 W Cypress St
Ste 201
Tampa, FL 33607
Phone (813) 542-1894

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mindermaur188793@orlandohealth.medalliesdirect.net
  • Direct secure messaging: megan.indermaur@wcfnf.eclinicaldirectplus.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1780697870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N STE 120",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137147",
            "telephone_number": "727-826-0795",
            "fax_number": "727-258-4863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Eighth Street South",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "St. Petersburg",
            "state": "FL",
            "postal_code": "33701",
            "country_code": "US",
            "telephone_number": "727-826-0735",
            "fax_number": "727-258-4863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INDERMAUR",
        "first_name": "MEGAN",
        "middle_name": "DAWN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 95893",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME95893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276133500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "56551",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.