Individual provider Active NPI

Steven J Melilli, D C P A

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1013971068
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0007232 Issued in FL
Practice address
2655 State Rd. #580
Suite 204
Clearwater, FL 33761
Phone
(727) 723-9685
Fax
(727) 723-1925
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0007232 FL Primary

Addresses

Primary practice location

2655 State Rd. #580
Suite 204
Clearwater, FL 33761

Mailing address

2655 State Road #580
Suite 204
Clearwater, FL 33761
Phone (727) 723-9685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080616000262 FL Practitioner - Chiropractic 3678644846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2655 State Rd
580 Suite 204
Clearwater, FL 33761-3167
Phone (727) 723-9685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0007232FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Steven J Melilli D C P a Chiropractor CurrentSince Feb 5, 2010 Accepting new patients

Locations

2655 State Road 580
Ste 204
Clearwater, FL 33761
Phone (727) 723-9685

Networks

  • FL PPO
  • FL HMO

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1013971068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 STATE ROAD #580",
            "address_2": "SUITE 204",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33761",
            "telephone_number": "727-723-9685",
            "fax_number": "727-723-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 STATE RD. #580",
            "address_2": "SUITE 204",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33761",
            "telephone_number": "727-723-9685",
            "fax_number": "727-723-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELILLI",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "D C P A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.