Active NPI
Martin E Avalos, MD
- Gastroenterology Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME79783
- Practice address
- 8725 N Wickham Rd
Suite 302
Melbourne, FL 32940-5997 - Phone
- (321) 434-9230
- Fax
- (321) 434-9231
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME79783 | FL | Primary |
Addresses
Primary practice location
8725 N Wickham Rd
Suite 302
Melbourne, FL 32940-5997
Mailing address
PO Box 561600
Rockledge, FL 32956-1600
Phone (321) 434-4600
Other practice location 1
105 Park Place Blvd Ste A
Davenport, FL 33837-6870
Phone (863) 419-2156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258475100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050908000846 | FL | Practitioner - Gastroenterology | 3476585670 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thakkar Patel and Avalos MD'S LLC
Practice addresses (Care Compare)
1009 Sebring Pkwy
Suite 101
Sebring, FL 33870-1616
Phone (863) 385-5179
Hospital & facility affiliations
- Adventhealth Sebring
- HCA Florida Highlands Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 178 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 203 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME79783 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thakkar Patel & Avalos MD'S LLC | Gastroenterology | Current | Accepting new patients |
Locations
1009 Sebring Pkwy
Ste 101
Sebring, FL 33870
Phone (863) 385-5179
Interoperability endpoints
- direct@tpa.directbygreenway.com
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.
-
- Gastroenterology Physician
- Sebring, FL
- NPI 1972565612
FL, Gastroenterology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1033101985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 561600",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329561600",
"telephone_number": "321-434-4600",
"fax_number": "321-434-4662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8725 N WICKHAM RD",
"address_2": "SUITE 302",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329405997",
"telephone_number": "321-434-9230",
"fax_number": "321-434-9231"
}
],
"practiceLocations": [
{
"address_1": "105 Park Place Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "FL",
"postal_code": "338376870",
"country_code": "US",
"telephone_number": "863-419-2156",
"fax_number": "863-419-2157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVALOS",
"first_name": "MARTIN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME79783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258475100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.