Organization Active NPI

Mauricio E. Melhado, M.D., P.a.

  • Cardiovascular Disease Physician
  • West Palm Beach, FL
National Provider Identifier
1043681968
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 89191 Issued in FL
Legal business name
MAURICIO E. MELHADO, M.D., P.A.
Practice address
3472 Forest Hill Blvd
Suite 3B
West Palm Beach, FL 33406-5864
Phone
(561) 619-3051
Fax
(561) 619-3055
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Dr. Mauricio E Melhado, M.D.NPI 1255323093
Title
President
Phone
(561) 619-3051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME 89191 FL Primary

Addresses

Primary practice location

3472 Forest Hill Blvd
Suite 3B
West Palm Beach, FL 33406-5864

Mailing address

3472 Forest Hill Blvd
Suite 3B
West Palm Beach, FL 33406-5864
Phone (561) 619-3051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160106001560 FL Part B Supplier - Clinic/Group Practice 0345542429 Receives reassigned benefits from 2 practitioners
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

3540 Forest Hill Blvd
Ste 103
West Palm Beach, FL 33406
Phone (561) 619-3051

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHBDAD

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1043681968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD",
            "address_2": "SUITE 3B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "561-619-3051",
            "fax_number": "561-619-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD",
            "address_2": "SUITE 3B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "561-619-3051",
            "fax_number": "561-619-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICIO E. MELHADO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "MELHADO",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-619-3051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 89191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.