DR. MARIE ANGELINE ANTONYRAJAH (M.D.) – Pediatrics Physician, NPI 1497043046
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MARIE ANGELINE ANTONYRAJAH (M.D.)
10140 CENTURION PKWY N
JACKSONVILLE, FL 322560532
Phone: (904) 697-5062
Fax: (904) 697-5102
Type: Mailing
13535 NEMOURS PKWY
ORLANDO, FL 328277402
Phone: (407) 567-4000
Type: Location
303 N CLYDE BLVD
DAYTONA BEACH, FL 321140532
Phone: (904) 697-5062
Fax: (386) 425-4000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-11-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141125000888 | I | Pediatric Medicine | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| - | DE | |
| Diagnostic Radiology, Pediatric Medicine | PA | |
| - | FL | |
| Pediatric Medicine | DE | |
| O P T O M E T R Y | DE | |
| - | DE | |
| Diagnostic Radiology | FL | |
| Pediatric Medicine | FL | |
| O T O L A R Y N G O L O G Y | FL |
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