Individual provider Active NPI

Pushpa Daliya, APRN

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1841761673
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9331110 Issued in FL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NZ109OtherFLMEDICARE
108113200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190723000980 FL Practitioner - Nurse Practitioner 6204162779 Reassigns benefits to 3 organizations

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
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

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

LicenseStateTypeSpecialty
9331110FLMDPhysical Medicine & Rehabilitation Physician
APRN9331110FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Srinivas Dontineni MD PA CurrentSince Sep 1, 2020 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jan 1, 2025 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

  • Direct secure messaging: pdaliya27801@epicdirect.hf.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.