NPIMap

Organization Active NPI

Monica K Bedi MD PA

  • Dermatology Physician
  • Bradenton, FL
National Provider Identifier
1871771337
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MONICA K BEDI MD PA
Practice address
4351 Cortez Rd W Ste 101
Bradenton, FL 34210-3215
Phone
(941) 927-5178
Fax
(941) 921-6838
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Monica K Bedi, MDNPI 1952330185
Title
Medical Director
Phone
(941) 927-5178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

4351 Cortez Rd W Ste 101
Bradenton, FL 34210-3215

Mailing address

3830 Bee Ridge Road, Suite 200
Sarasota, FL 34233
Phone (941) 927-5178

Other names 1

  • Dermatology Associates of Sarasota Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051028000196 FL Part B Supplier - Clinic/Group Practice 9638196769 Receives reassigned benefits from 17 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bradenton, FL; Ellenton, FL; Lakewood Ranch, FL; Sarasota, FL; Venice, FL

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2064868Monica K Bedi MD PA Dba4351 Cortez Rd W Suite 101, Bradenton, FL 34210ComplianceSep 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Monica K Bedi MD PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3501 Cortez Rd W
Ste 3
Bradenton, FL 34210
Phone (941) 727-4209

3830 Bee Ridge Rd
Ste 200
Sarasota, FL 34233
Phone (941) 927-5178

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1871771337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 BEE RIDGE ROAD, SUITE 200",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34233",
            "telephone_number": "941-927-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 CORTEZ RD W STE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103215",
            "telephone_number": "941-927-5178",
            "fax_number": "941-921-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA K BEDI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "BEDI",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "941-927-5178",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Associates of Sarasota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.