Active NPI
Edeck S Pierre
- Internal Medicine Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME120221
- Practice address
- 1350 Hickory St
Melbourne, FL 32901-3224 - Phone
- (321) 434-1771
- Fax
- (321) 434-1775
- NPI assigned
- Apr 16, 2007
- Last updated
- Mar 7, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME120221 | FL | Primary |
| Hospitalist Physician | 208M00000X | ME120221 | FL |
Addresses
Primary practice location
1350 Hickory St
Melbourne, FL 32901-3224
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Other practice location 1
7955 Bay St
Sebastian, FL 32958-3282
Phone (862) 236-0956
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018678700 | Medicaid | FL | |
| IO780Y | Other | FL | FL MEDICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000
1515 US Hwy 1
Suite 204
Sebastian, FL 32958-1612
Phone (772) 783-2436
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Internal Medicine & Primary Care of Sebastian LLC | Internal Medicine | Current | Accepting new patients |
| Halifax Healthcare Systems Inc | Hospitalist | Current | Accepting new patients |
| Comprehensive Hospitalists of Florida, LLC | Hospitalist | Current | Accepting new patients |
| Hospital Physician Services of Florida PA | Internal Medicine | Current | Accepting new patients |
| Health First Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| LVHR Services Inc | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
303 N Clyde Morris Blvd
Fl First
Daytona Beach, FL 32114
Phone (386) 425-6198
1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
14499 US Highway 1
Sebastian, FL 32958
Phone (772) 783-2436
1515 US Highway 1
Ste 204
Sebastian, FL 32958
Phone (772) 388-1161
7955 Bay St
Sebastian, FL 32958
Phone (862) 236-0956
Interoperability endpoints
- epierre23538@epicdirect.hf.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Internal Medicine
-
- Internal Medicine Physician
- Sebastian, FL
- NPI 1134998396
-
- Hospitalist Physician
- Lake Wales, FL
- NPI 1457646903
-
dba HHCSI Halifax Family Health Center
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
Hospitalist
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
Internal Medicine
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Clinic/Center
- Miami, FL
- NPI 1538951132
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
dba Orlando Health Sebastian River Hospital
- General Acute Care Hospital
- Sebastian, FL
- NPI 1578381307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1083839724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HICKORY ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013224",
"telephone_number": "321-434-1771",
"fax_number": "321-434-1775"
}
],
"practiceLocations": [
{
"address_1": "7955 Bay St",
"address_purpose": "LOCATION",
"city": "Sebastian",
"state": "FL",
"postal_code": "329583282",
"country_code": "US",
"telephone_number": "862-236-0956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIERRE",
"first_name": "EDECK",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME120221",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME120221",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018678700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "IO780Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
- Alison Claire Pichney
- Kelly A Pickens, DPT
- Walther Martin Piedra
- Hannah Renee Pierce, PT
- Thomas Harold Pierce, CRNA
- Allison Michelle Pierron, MSN, CNM, APRN
- Gianna Lynne Pietro
- Jamie Pietsch
- Johanna B Pillado, APRN, FNP-C
- Pinewood Estates Assisted Living Facility (Pinewood Estates Assisted Living Community)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.