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DR. SHEVANTI MANJULA JEGASOTHY M.D.
NPI 1639197288
Specialist in Coral Gables, FL

Active since July 18, 2006PECOS Enrolled
135 SAN LORENZO AVE STE 870, CORAL GABLES, FL 33146(305) 569-0067(305) 569-0110 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shevanti Manjula Jegasothy M.d. NPPES

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

DR. SHEVANTI MANJULA JEGASOTHY M.D. (NPI 1639197288) is an individual specialist in Coral Gables, Florida, licensed in Florida (ME0071046) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639197288
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. SHEVANTI MANJULA JEGASOTHYCredential: M.D.
Location Address135 SAN LORENZO AVE STE 870Coral Gables, FL 33146-1879
Mailing Address135 San Lorenzo Ave Ste 870Coral Gables, FL 33146-1879 · (305) 569-0067 · Fax (305) 569-0110
Phone(305) 569-0067
Fax(305) 569-0110
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateFebruary 12, 2013
✔ NPI 1639197288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0071046
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedDermatologyTaxonomy 207N00000X · License ME0071046 (FL)
135 SAN LORENZO AVE STE 870, Coral Gables, FL 33146
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Other Identifiers 4

Medicare PIN43430AFL
Medicare UPING67731FL
Medicaid255140300FL
Other2292815FL · Aetna

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shevanti Manjula Jegasothy 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.

Other Providers at the Same Location NPPES

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

S MANJULA JEGASOTHY MD PA
Dermatology
135 SAN LORENZO AVE STE 870
CORAL GABLES, FL 33146
Miami-Dade County (305) 569-0067

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 Shevanti Jegasothy's NPI number?

The NPI number for Shevanti Jegasothy is 1639197288. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Shevanti Jegasothy located?

Shevanti Jegasothy practices at 135 San Lorenzo Ave Ste 870, Coral Gables, FL 33146. The listed phone number is (305) 569-0067.

What is Shevanti Jegasothy's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Shevanti Jegasothy enrolled in Medicare?

Yes. Shevanti Jegasothy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shevanti Jegasothy was last updated on February 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.