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MEGHA OBEROI M.D.
NPI 1104231372
Internal Medicine in Sarasota, FL

Active since June 26, 2014PECOS EnrolledAccepts Medicare Assignment
78.8/100
CMS Quality Rating
1700 S TAMIAMI TRL, SARASOTA, FL 34239(941) 917-4896(941) 917-6884 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2021, Sep 18, 2017 (2 updates tracked since 2017).

About Megha Oberoi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEGHA OBEROI M.D. (NPI 1104231372) is an individual internal medicine provider in Sarasota, Florida, licensed in Florida (ME132541) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104231372
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMEGHA OBEROICredential: M.D.
Location Address1700 S TAMIAMI TRLSarasota, FL 34239-3509
Mailing AddressPo Box 863407Orlando, FL 32886-3407 · (941) 917-2600 · Fax (941) 917-7884
Phone(941) 917-4896
Fax(941) 917-6884
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 26, 2014
Last NPPES UpdateJuly 29, 20212 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1104231372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME132541
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1700 S TAMIAMI TRL, Sarasota, FL 34239
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Megha Oberoi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668738923
PECOS Enrollment IDI20171102002220
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
107 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.37
Promoting Interoperability99
Improvement Activities40
Cost50.81

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%672 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELIJAH KIM M.D.
Surgery (Surgical Critical Care)
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 917-9000
DR. ENRICO V VINTAYEN MD
Psychiatry & Neurology (Neurology)
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 917-4896
VIRALKUMAR PATEL MD
Internal Medicine
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 917-4896
DR. MAHA HAMEED MBBS
Student in an Organized Health Care Education/Training Program
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 917-7799
ELIZABETH FERNANDEZ PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 262-7727
RODES ACKERMAN PHARMD
Pharmacist
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 917-3131
MAYURI JINDAL M.D.
Pediatrics
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 917-7490
STEVEN MICHAEL PAPUCHIS DO
Physical Medicine & Rehabilitation (Sports Medicine)
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 917-8561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Megha Oberoi's NPI number?

The NPI number for Megha Oberoi is 1104231372. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Where is Megha Oberoi located?

Megha Oberoi practices at 1700 S Tamiami Trl, Sarasota, FL 34239. The listed phone number is (941) 917-4896.

What is Megha Oberoi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Megha Oberoi enrolled in Medicare?

Yes. Megha Oberoi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Megha Oberoi accept?

Health plans from AvMed list Megha Oberoi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Megha Oberoi affiliated with any hospitals?

According to CMS data, Megha Oberoi is affiliated with Sarasota Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Megha Oberoi was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.