Active NPI
Megan Dawn Indermaur, M.D.
- Gynecologic Oncology Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- ME95893
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276133500 | Medicaid | FL | |
| 56551 | Other | FL | BLUE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- 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
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of the uterus | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 95893 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Women's Care Florida LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Womens' Health Hospitalists, LLC | Obstetrics & Gynecology | Current | 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
- mindermaur188793@orlandohealth.medalliesdirect.net
- 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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
dba Bayfront Health St. Petersburg Medical Group
- Cardiovascular Disease Physician
- St Petersburg, FL
- NPI 1518572551
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
dba Bayfront Health St. Petersburg Imaging Center
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morton Plant Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
dba Bayfront Health St Petersburg
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1154399749
-
dba St. Anthonys Hospital
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.