Adwait Jathal (NPI# 1972574333, PAC ID# 8921040189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1972574333 |
| PAC ID by PECOS | 8921040189 |
| Professional Enrollment ID | I20070226000111 |
| Full Name | Adwait Jathal |
| Organization Legal Name | MEDICAL ASSOCIATES OF BREVARD LLC |
| Address |
200 Michigan Ave Melbourne FL 32901-3100 |
| Phone Number | 3219520700 |
| Gender | M |
| Credential | MD |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 4486558012 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| 100316 | PALM BAY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Michigan Ave, Melbourne, FL 32901-3100 | 3219520700 | MEDICAL ASSOCIATES OF BREVARD LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 77% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 25% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 81% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 9% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 6% | |
| MIPS_EC_047_overall | Care Plan | 100% |
| Organization Legal Name | MEDICAL ASSOCIATES OF BREVARD LLC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Jane Lis | Nurse Practitioner | Medical Associates of Brevard LLC | 1380 S Patrick Dr, Suite 1, Satellite Bch, FL 32937-4375 |
| Kaitlin M Lassen | Physician Assistant | Medical Associates of Brevard LLC | 2200 W Eau Gallie Blvd, Melbourne, FL 32935-3166 |
| Jacquelyn Merrill | Nurse Practitioner | Medical Associates of Brevard LLC | 5200 Babcock St Ne, Suite 103, Palm Bay, FL 32905-4639 |
| Holly Carter Bell | Nurse Practitioner | Medical Associates of Brevard LLC | 402 N Babcock St, Suite 102, Melbourne, FL 32935-7335 |
| James D Kearney | Internal Medicine | Medical Associates of Brevard LLC | 580 N Wickham Rd, Suite A, Melbourne, FL 32935-8400 |
| Sudeshna Mitra | Internal Medicine | Medical Associates of Brevard LLC | 397 N Wickham Rd, Suite 101, Melbourne, FL 32935-8669 |
| John Turse | Gastroenterology | Medical Associates of Brevard LLC | 200 Michigan Ave, Melbourne, FL 32901-3100 |
| Parvesh K Bansal | Pulmonary Disease | Medical Associates of Brevard LLC | 1400 Pine St, Melbourne, FL 32901-3170 |
| James T Go | Otolaryngology | Medical Associates of Brevard LLC | 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935-3134 |
| Mudanai Panneerselvam Sabapathy | Internal Medicine | Medical Associates of Brevard LLC | 3044 W New Haven Ave, West Melbourne, FL 32904-3566 |
| Street Address |
200 MICHIGAN AVE |
| City | MELBOURNE |
| State | FL |
| Zip | 32901-3100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Turse | Gastroenterology | Medical Associates of Brevard LLC | 200 Michigan Ave, Melbourne, FL 32901-3100 |
| Sara S Turse | Internal Medicine | 200 Michigan Ave, Melbourne, FL 32901-3100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony R Else | Physical Therapy | 18 W Ave 'b' Unit, Suite 4, Melbourne, FL 32901-1219 | |
| Yanqing Gu | Internal Medicine | 551 S Apollo Blvd, Suite 103, Melbourne, FL 32901-1274 | |
| Richard J Wecker | Chiropractic | 551 S Apollo Blvd, Suite 105, Melbourne, FL 32901-1274 | |
| Ralph Zipper | Urology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| James Loras Raders | Obstetrics/gynecology | Ralph Zipper Md Pa | 200 S Harbor City Blvd, Suite 401, Melbourne, FL 32901-1389 |
| Brian J Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Claudia R Mallette | Podiatry | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1389 | |
| Ana Marisol Conde Rosa | Infectious Disease | Project Response Inc | 745 S Apollo Blvd, Melbourne, FL 32901-1457 |
| Monica L Wise | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Heather M Weeks | Nurse Practitioner | Quality Medical Care Pa | 675 S Babcock St, Melbourne, FL 32901-1459 |
| Find all physicians in zip 32901 | |||
| City | MELBOURNE |
| Zip Code | 32901 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | MELBOURNE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Adwait Jathal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.