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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEDICAL ASSOCIATES OF BREVARD LLC
NPI 1861400103
Clinic/Center - Multi-Specialty in Melbourne, FL

Active since August 03, 2006CLIA Certified · 14 labs
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: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, Sep 1, 2026, Nov 13, 2025 and 6 more (9 updates tracked since 2016).

About Medical Associates Of Brevard Llc NPPES

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

MEDICAL ASSOCIATES OF BREVARD LLC (NPI 1861400103), doing business as Medical Associates Of Brevard, P.a., is a healthcare organization registered as a multi-specialty in Melbourne, Florida and active in the NPI registry since August 2006. The organization holds 14 active CLIA laboratory certificates, maintains 38 additional practice locations, and lists Alison Alvarez, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1861400103
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMEDICAL ASSOCIATES OF BREVARD LLC
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
Phone(321) 253-2900
Fax(321) 435-0100
Organization SubpartNo
Authorized OfficialAlison AlvarezCredentialing Coordinator · (321) 253-2900
Enumeration DateAugust 3, 2006
Last NPPES UpdateOctober 12, 20269 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1861400103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2200 W EAU GALLIE BLVD STE 200, Melbourne, FL 32935
Open in Google Maps ↗

Other Names 1

Former Legal Business NameMedical Associates Of Brevard, P.a.

Secondary Practice Locations 38

Location 12107 Dairy RdMelbourne, FL 32904-5241 · Phone (321) 676-7860
Location 21395 N Courtenay Pkwy Ste 203Merritt Island, FL 32953-4475 · Phone (321) 850-2850
Location 3336 Cogan Dr SEPalm Bay, FL 32909-6869 · Phone (321) 462-4001
Location 42010 W Eau Gallie Blvd Unit 106Melbourne, FL 32935-4033 · Phone (321) 254-6338
Location 52290 W Eau Gallie Blvd Ste 108Melbourne, FL 32935-3134 · Phone (321) 752-3888
Location 67000 Spyglass Ct Ste 350Melbourne, FL 32940-8287 · Phone (321) 425-3470
Location 72290 W Eau Gallie Blvd Ste 100Melbourne, FL 32935-3134 · Phone (321) 309-9000
Location 821 Suntree Pl Ste 101Melbourne, FL 32940-7600 · Phone (321) 241-6535
Location 9402 N Babcock St Ste 102Melbourne, FL 32935-7335 · Phone (321) 241-6540
Location 102194 Highway A1A Ste 201Indian Harbour Beach, FL 32937-4931 · Phone (321) 777-6869
Location 115200 Babcock St NE Ste 106APalm Bay, FL 32905-4639 · Phone (321) 373-7700
Location 121801 Sarno Rd Ste 6Melbourne, FL 32935-3989 · Phone (321) 384-3200
Location 136080 Babcock St SEPalm Bay, FL 32909-3921 · Phone (321) 409-3073
Location 143021 W Eau Gallie Blvd Ste 101Melbourne, FL 32934-7005 · Phone (321) 255-0959
Location 158057 Spyglass Hill Rd Ste 104Melbourne, FL 32940-8565 · Phone (321) 241-4877
Location 163140 Suntree Blvd Ste 5Rockledge, FL 32955-5789 · Phone (321) 985-4200
Location 171535 W Nasa Blvd Ste 103Melbourne, FL 32901-2614 · Phone (321) 837-0010
Location 182955 Pineda Plaza Way Ste 107Melbourne, FL 32940-7306 · Phone (321) 850-2850
Location 198095 Spyglass Hill Rd Ste 104Melbourne, FL 32940-8290 · Phone (321) 241-6400
Location 20580 N Wickham Rd Ste CMelbourne, FL 32935-8400 · Phone (321) 255-7118
Location 211051 Port Malabar Blvd NE Ste 4Palm Bay, FL 32905-5153 · Phone (321) 725-3438
Location 227730 N Wickham Rd Ste 103Melbourne, FL 32940-8296 · Phone (321) 253-3595
Location 23397 N Wickham Rd Ste 101Melbourne, FL 32935-8669 · Phone (321) 622-6222
Location 242290 W Eau Gallie Blvd Ste 110Melbourne, FL 32935-3134 · Phone (321) 421-7555
Location 251380 S Patrick DrSatellite Beach, FL 32937-4375 · Phone (321) 773-2659
Location 268045 Spyglass Hill Rd Ste 101Melbourne, FL 32940-8567 · Phone (321) 255-2289
Location 273044 W New Haven AveWest Melbourne, FL 32904-3566 · Phone (321) 473-8613
Location 281555 W Nasa Blvd Unit B1Melbourne, FL 32901-2640 · Phone (321) 341-1700 · Fax (321) 622-6295
Location 291400 Pine StMelbourne, FL 32901-3170 · Phone (321) 676-6000
Location 301051 Port Malabar Blvd NE Ste 3Palm Bay, FL 32905-5153 · Phone (321) 312-4796
Location 316550 N Wickham Rd Ste 2Melbourne, FL 32940-2038 · Phone (321) 255-1947
Location 322186 Harris Ave NE Ste 2Palm Bay, FL 32905-4044 · Phone (321) 725-8111
Location 33655 S Apollo BlvdMelbourne, FL 32901-1485 · Phone (321) 751-2707
Location 348041 Spyglass Hill Rd Ste 102Melbourne, FL 32940-8559 · Phone (321) 255-4003
Location 351301 W Eau Gallie Blvd Ste 108Melbourne, FL 32935-5390 · Phone (321) 622-8730
Location 36200 Michigan AveMelbourne, FL 32901-3100 · Phone (321) 952-0700
Location 371305 Valentine StMelbourne, FL 32901-3127 · Phone (321) 254-7717
Location 383040 N Wickham Rd Ste 10Melbourne, FL 32935-2369 · Phone (321) 428-4840

Other Identifiers 1

Medicaid250155400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Associates Of Brevard Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

88

Medicare enrollment records show 88 clinicians reassign Medicare billing to Medical Associates Of Brevard LLC, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 77 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Nurse Practitioner38
Internal Medicine18
Family Practice7
Endocrinology3
Cardiovascular Disease (Cardiology)2
Gastroenterology2
General Surgery2
Podiatry2
12 other specialties14

Nearest to this location (20)

See all 88
Terri Harasen, APRN
Nurse Practitioner
NPI 1023811007
2200 W EAU GALLIE BLVD STE 200
Melbourne, FL 32935
(321) 255-1500
✔ PECOS✔ Accepts MedicareSame address
Jillian Aydelotte, APRN
Nurse Practitioner
NPI 1407516396
2200 W EAU GALLIE BLVD STE 200
Melbourne, FL 32935
(321) 255-1500
✔ PECOS✔ Accepts MedicareSame address
James Go, MD
Otolaryngology
NPI 1053388728
2290 W EAU GALLIE BLVD SUITE 110
Melbourne, FL 32935
(321) 421-7555
✔ PECOS✔ Accepts MedicareSame address
Jordyn Kerce
Nurse Practitioner
NPI 1124746763
2200 W EAU GALLIE BLVD STE 200
Melbourne, FL 32935
(321) 255-1500
✔ PECOS✔ Accepts MedicareSame address
Rajesh Desai, MD
Endocrinology
NPI 1427057256
2290 W EAU GALLIE BLVD SUITE 100
Melbourne, FL 32935
(321) 309-9000
✔ PECOS✔ Accepts MedicareSame address
Nikhita Dhruv, MD
Endocrinology
NPI 1710985593
2290 W EAU GALLIE BLVD SUITE 100
Melbourne, FL 32935
(321) 309-9000
✔ PECOS✔ Accepts MedicareSame address
Christopher Hutchinson
Qualified Audiologist
NPI 1487952016
2290 W EAU GALLIE BLVD STE 110
Melbourne, FL 32935
(321) 421-7555
✔ Accepts MedicareSame address
Samantha Byrne, APRN
Nurse Practitioner
NPI 1295506764
2200 W EAU GALLIE BLVD STE 200
Melbourne, FL 32935
(321) 255-1500
✔ PECOS✔ Accepts MedicareSame address
Gopal Gadodia, M.D.
Cardiovascular Disease (Cardiology)
NPI 1306842984
2200 W EAU GALLIE BLVD STE 200
Melbourne, FL 32935
(321) 255-1500
✔ PECOS✔ Accepts MedicareSame address
Adinarayana Lagudu, MD
Internal Medicine
NPI 1720153208
2200 W EAU GALLIE BLVD STE 200
Melbourne, FL 32935
(321) 253-2900
✔ PECOS✔ Accepts MedicareSame address
Dineshkumar Patel, M.B.B.S.
Cardiac Surgery
NPI 1316160161
2200 W EAU GALLIE BLVD STE 200
Melbourne, FL 32935
(321) 255-1500
✔ PECOS✔ Accepts MedicareSame address
Rakesh Patel, MD
Cardiovascular Disease (Cardiology)
NPI 1720109598
2200 W EAU GALLIE BLVD SUITE 200
Melbourne, FL 32935
(321) 255-1500
✔ PECOS✔ Accepts MedicareSame address
Neli Rubio, APRN
Nurse Practitioner
NPI 1386417764
2200 W EAU GALLIE BLVD STE 200
Melbourne, FL 32935
(321) 255-1500
✔ PECOS✔ Accepts MedicareSame address
Nirav Thakkar, M.D.
Geriatric Medicine
NPI 1144579327
2200 W EAU GALLIE BLVD STE 200
Melbourne, FL 32935
(321) 253-2900
✔ PECOS✔ Accepts MedicareSame address
Ashley White, DNP
Nurse Practitioner
NPI 1730804881
2200 W EAU GALLIE BLVD STE 200
Melbourne, FL 32935
(321) 255-1500
✔ PECOS✔ Accepts MedicareSame address
Anju Grover, MD
Internal Medicine
NPI 1316979529
2010 W EAU GALLIE BLVD UNIT 106
Melbourne, FL 32935
(321) 254-6338
✔ PECOS✔ Accepts Medicare0.3 mi
Nitin Jain, MD
Internal Medicine
NPI 1750478392
2010 W EAU GALLIE BLVD UNIT 106
Melbourne, FL 32935
(321) 254-6338
✔ PECOS✔ Accepts Medicare0.3 mi
Madhavi Chary, M.D.
Internal Medicine
NPI 1952544371
1801 SARNO RD STE 6
Melbourne, FL 32935
(321) 384-3200
✔ PECOS✔ Accepts Medicare0.8 mi
Esmat Gayed, MD
Family Practice
NPI 1811007651
3021 W EAU GALLIE BLVD SUITE 101
Melbourne, FL 32934
(321) 255-0959
✔ PECOS✔ Accepts Medicare1.0 mi
Rachelle Hagan
Nurse Practitioner
NPI 1821686668
1301 W EAU GALLIE BLVD STE 108
Melbourne, FL 32935
(321) 622-8730
✔ PECOS✔ Accepts Medicare1.0 mi
See all 88 clinicians

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

CLIA Laboratory Certificates CMS CLIA 14

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2115336

Medical Associates Of Brevard LLC · Melbourne, FL
Active · expires Jul 4, 2028
CLIA Number10D2115336
Laboratory TypePhysician Office
Certificate Effective DateJuly 5, 2026
Certificate Expiration DateJuly 4, 2028
Laboratory DirectorPreeti Bimbrahw
Laboratory Phone(321) 241-6400
Laboratory LocationMedical Associates Of Brevard LLC8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0717367

Medical Associates Of Brevard · Melbourne, FL
Active · expires Feb 19, 2028
CLIA Number10D0717367
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorEsmat Gayed MD
Laboratory Phone(321) 255-0959
Laboratory LocationMedical Associates Of Brevard3021 W Eau Gallie Blvd Suite 101, Melbourne, FL 32934
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1074710

Medical Associates Of Brevard/Shakti D Bakshi MD · Melbourne, FL
Active · expires Oct 3, 2027
CLIA Number10D1074710
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorShakti D. Bakshi
Laboratory Phone(321) 255-1947
Laboratory LocationMedical Associates Of Brevard/Shakti D Bakshi MD6550 N Wickham Rd Ste 2, Melbourne, FL 32940
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2238140

Medical Associates Of Brevard LLC Dba Nasa Primary Care · Melbourne, FL
Active · expires Sep 29, 2027
CLIA Number10D2238140
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorRaman Ashta
Laboratory Phone(321) 341-1700
Laboratory LocationMedical Associates Of Brevard LLC Dba Nasa Primary Care1555 W Nasa Blvd Unit B1, Melbourne, FL 32901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1104576

Medical Associates Of Brevard Dr S Vyas · Palm Bay, FL
Active · expires Sep 3, 2027
CLIA Number10D1104576
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorSharad Vyas
Laboratory Phone(321) 725-8111
Laboratory LocationMedical Associates Of Brevard Dr S Vyas2186 Harris Ave NE Ste 2, Palm Bay, FL 32905
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1102076

Medical Associates Of Brevard LLC Internal Medicine Dr Nitin Jain/ Dr Anju Grover · Melbourne, FL
Active · expires Jul 9, 2027
CLIA Number10D1102076
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorNitin Jain
Laboratory Phone(321) 254-6338
Laboratory LocationMedical Associates Of Brevard LLC Internal Medicine Dr Nitin Jain/ Dr Anju Grover2010 W Eau Gallie Blvd Unit 106, Melbourne, FL 32935
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medical Associates Of Brevard LLC's NPI number?

The NPI number for Medical Associates Of Brevard LLC is 1861400103. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider was formerly known as Medical Associates of Brevard, P.A..

Where is Medical Associates Of Brevard LLC located?

Medical Associates Of Brevard LLC is located at 2200 W Eau Gallie Blvd Ste 200, Melbourne, FL 32935. The listed phone number is (321) 253-2900.

What is Medical Associates Of Brevard LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Medical Associates Of Brevard LLC enrolled in Medicare?

Yes. Medical Associates Of Brevard LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Associates Of Brevard LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 88 clinicians in 20 Medicare specialties reassign their Medicare billing to Medical Associates Of Brevard LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (38), Internal Medicine (18) and Family Practice (7). Of these, 15 practice at this address and 77 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medical Associates Of Brevard LLC hold CLIA laboratory certificates?

Yes. 14 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Medical Associates Of Brevard LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Medical Associates Of Brevard LLC 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 Medical Associates Of Brevard LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.