Individual provider Active NPI

Niroj Alsuleivani, PA-C

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1063174142
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
PA9115157 Issued in FL
Practice address
298 Michigan Ave Ste 101
Melbourne, FL 32901-3104
Phone
(321) 215-6899
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PA9115157 FL Primary

Addresses

Primary practice location

298 Michigan Ave Ste 101
Melbourne, FL 32901-3104

Mailing address

376 Cypress Point Dr
Melbourne, FL 32940-7747
Phone (313) 221-7415

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211104000239 FL Practitioner - Physician Assistant 8527456979 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9115157FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Physician Associates, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Brevard Health Center PL Internal Medicine CurrentSince Oct 12, 2021 Accepting new patients

Locations

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

298 Michigan Ave
Ste 101
Melbourne, FL 32901
Phone (321) 215-6899

Interoperability endpoints

  • Direct secure messaging: nalsuleivani71617@epicdirect.hf.org

Organizations & group practices 2

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1063174142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 CYPRESS POINT DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407747",
            "telephone_number": "313-221-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 MICHIGAN AVE STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013104",
            "telephone_number": "321-215-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSULEIVANI",
        "first_name": "NIROJ",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "PA9115157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.