DR. MARIE ANGELINE ANTONYRAJAH M.D.
NPI 1497043046
Pediatrics in Daytona Beach, FL

Active since July 18, 2011PECOS Enrolled
303 N CLYDE BLVD, DAYTONA BEACH, FL 32114(386) 425-4000 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 13, 2025, Mar 13, 2019, Jul 10, 2017 (3 updates tracked since 2017).

About Dr. Marie Angeline Antonyrajah M.d. NPPES

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

DR. MARIE ANGELINE ANTONYRAJAH M.D. (NPI 1497043046) is an individual pediatrics provider in Daytona Beach, Florida, licensed in Florida (ME120640) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497043046
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARIE ANGELINE ANTONYRAJAHCredential: M.D.
Location Address303 N CLYDE BLVDDaytona Beach, FL 32114
Mailing Address303 N Clyde BlvdDaytona Beach, FL 32114-0532 · (904) 697-5062 · Fax (386) 425-4000
Sole ProprietorNo
Enumeration DateJuly 18, 2011
Last NPPES UpdateMarch 13, 20253 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1497043046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME120640
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License ME120640 (FL)
Also ListedHospitalistTaxonomy 208M00000X · License ME120640 (FL)
303 N CLYDE BLVD, Daytona Beach, FL 32114

Other Identifiers 1

Medicaid014412800FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marie Angeline Antonyrajah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Marie Antonyrajah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 786 clinicians in this Medicare group
Emergency Medical Services
601 E ROLLINS ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 619 clinicians in this Medicare group
Multi-Specialty
10140 CENTURION PKWY N, THE NEMOURS FOUNDATION
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

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 Marie Antonyrajah's NPI number?

The NPI number for Marie Antonyrajah is 1497043046. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Marie Antonyrajah located?

Marie Antonyrajah practices at 303 N Clyde Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 425-4000.

What is Marie Antonyrajah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Marie Antonyrajah enrolled in Medicare?

Yes. Marie Antonyrajah is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marie Antonyrajah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Antonyrajah reassigns Medicare benefits to 3 organizations: Halifax Healthcare Systems Inc (Daytona Beach, FL), Florida Emergency Physicians Kang And Associates MD LLC (Orlando, FL) and The Nemours Foundation (Jacksonville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marie Antonyrajah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marie Antonyrajah accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Marie Antonyrajah 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.

When was this NPI record last updated?

The NPPES record for Marie Antonyrajah was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.