DR. TARUN TEWATIA M.D.
NPI 1285679209
Internal Medicine in Melbourne, FL

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
2200 W EAU GALLIE BLVD STE 200, MELBOURNE, FL 32935(321) 253-2900(321) 435-0100 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 22, 2020, Dec 16, 2020, Jun 19, 2020 and 1 more (4 updates tracked since 2016).

About Dr. Tarun Tewatia M.d. NPPES

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

DR. TARUN TEWATIA M.D. (NPI 1285679209) is an individual internal medicine provider in Melbourne, Florida, licensed in Florida (ME94994) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and maintains a secondary practice location in Melbourne.

NPPES Registry Identity

NPI1285679209
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TARUN TEWATIACredential: M.D.
Location Address2200 W EAU GALLIE BLVD STE 200Melbourne, FL 32935-3166
Mailing AddressPo Box 361095Melbourne, FL 32936-1095 · (321) 253-2900 · Fax (321) 435-0100
Fax(321) 435-0100
Sole ProprietorNo
Medical School CMSUniversity College Of MedicineGraduated 1997
Enumeration DateJune 17, 2006
Last NPPES UpdateDecember 22, 20204 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
NPI 1285679209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME94994
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.
Also ListedHospitalistTaxonomy 208M00000X · License ME94994 (FL)
2200 W EAU GALLIE BLVD STE 200, Melbourne, FL 32935

Secondary Practice Location 1

Location 11350 Hickory StMelbourne, FL 32901-3224 · Phone (321) 434-1771 · Fax (321) 434-1775

Other Identifiers 3

Medicaid274705700FL
Other37007FL · Blue Shield Of Fl
OtherNC895FL · Fl Hf Medicare

Accepted 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

Dr. Tarun Tewatia 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 ID9335156058
PECOS Enrollment IDI20060321000250
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 7

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 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.
438 services233 patients
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.
300 services164 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.
101 services101 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.
65 services65 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
58 services58 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Cape Canaveral Hospital

Acute Care Hospitals · Cocoa Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100177
Location701 W Cocoa Beach CausewayCocoa Beach, FL 32932 · Brevard County
Emergency services Birthing friendly

Sebastian River Medical Center

Acute Care Hospitals · Sebastian, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100217
Location13695 Us Hwy 1Sebastian, FL 32958 · Indian River County
Emergency services

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32935 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.

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%278 patients5/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
100%35 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
32%391 patients1/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
40%77 patients2/55-star benchmark: 98%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
3%194 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
97%506 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
18%39 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%194 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%194 patients1/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers37 claims37 services$14.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers40 claims40 services$71.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Family)
2200 W EAU GALLIE BLVD STE 200
MELBOURNE, FL 32935
Nurse Practitioner (Family)
2200 W EAU GALLIE BLVD STE 200
MELBOURNE, FL 32935
Internal Medicine (Geriatric Medicine)
2200 W EAU GALLIE BLVD STE 200
MELBOURNE, FL 32935
Nurse Practitioner
2200 W EAU GALLIE BLVD STE 200
MELBOURNE, FL 32935
Internal Medicine (Interventional Cardiology)
2200 W EAU GALLIE BLVD STE 200
MELBOURNE, FL 32935
Nurse Practitioner
2200 W EAU GALLIE BLVD STE 200
MELBOURNE, FL 32935
Nurse Practitioner (Acute Care)
2200 W EAU GALLIE BLVD STE 200
MELBOURNE, FL 32935
Nurse Practitioner
2200 W EAU GALLIE BLVD STE 200
MELBOURNE, FL 32935

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 Tarun Tewatia's NPI number?

The NPI number for Tarun Tewatia is 1285679209. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Tarun Tewatia located?

Tarun Tewatia practices at 2200 W Eau Gallie Blvd Ste 200, Melbourne, FL 32935. The listed phone number is (321) 253-2900.

What is Tarun Tewatia's specialty?

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

Is Tarun Tewatia enrolled in Medicare?

Yes. Tarun Tewatia 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 Tarun Tewatia accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Tarun Tewatia 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 Tarun Tewatia affiliated with any hospitals?

According to CMS data, Tarun Tewatia is affiliated with Holmes Regional Medical Center, Adventhealth Heart Of Florida, Cape Canaveral Hospital, Sebastian River Medical Center and Viera Hospital.

When was this NPI record last updated?

The NPPES record for Tarun Tewatia was last updated on December 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.