Active NPI
Pushpa Daliya, APRN
- Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9331110
- Practice address
- 7332 Office Park PL Ste 103
Melbourne, FL 32940-8241 - Phone
- (321) 327-9788
- NPI assigned
- Dec 5, 2018
- Last updated
- Sep 21, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN9331110 | FL | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 9331110 | FL |
Addresses
Primary practice location
7332 Office Park PL Ste 103
Melbourne, FL 32940-8241
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 327-9788
Other practice location 1
1600 Sarno Rd Ste E119
Melbourne, FL 32935-4938
Phone (321) 768-9151
Other practice location 2
1301 W Eau Gallie Blvd Ste 112
Melbourne, FL 32935-5390
Phone (321) 327-9788
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NZ109 | Other | FL | MEDICARE |
| 108113200 | Medicaid | FL |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Florida College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7332 Office Park PL
Suite 103
Melbourne, FL 32940-8241
Phone (321) 327-9788
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9331110 | FL | MD | Physical Medicine & Rehabilitation Physician |
| APRN9331110 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Srinivas Dontineni MD PA | Current | Accepting new patients | |
| Privia Medical Group Florida, LLC | Current | Accepting new patients | |
| Patrick K Brueggeman DPM LLC | Past | Accepting new patients |
Locations
2428 Clearlake Rd
Bldg K
Cocoa, FL 32922
Phone (321) 368-3862
140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777
7332 Office Park Pl
Ste 103
Viera, FL 32940
Phone (321) 327-9788
Interoperability endpoints
- pdaliya27801@epicdirect.hf.org
- pushpa.daliya.1@8042.direct.athenahealth.com
Organizations & group practices 4
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.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
-
dba Brevard Hospitalist Associates
- Infectious Disease Physician
- Cocoa, FL
- NPI 1639323041
-
- Infectious Disease Physician
- Melbourne, FL
- NPI 1376958462
-
- Foot & Ankle Surgery Podiatrist
- Melbourne, FL
- NPI 1366957839
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1841761673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "321-327-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7332 OFFICE PARK PL STE 103",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329408241",
"telephone_number": "321-327-9788"
}
],
"practiceLocations": [
{
"address_1": "1600 Sarno Rd Ste E119",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329354938",
"country_code": "US",
"telephone_number": "321-768-9151",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 W Eau Gallie Blvd Ste 112",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329355390",
"country_code": "US",
"telephone_number": "321-327-9788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALIYA",
"first_name": "PUSHPA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9331110",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "9331110",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NZ109",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108113200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.