Individual provider Active NPI

Edeck S Pierre

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1083839724
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME120221 Issued in FL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
018678700MedicaidFL
IO780YOtherFLFL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620000699 FL Practitioner - Internal MedicinePractitioner - Hospitalist 1254431760 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

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

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Oct 3, 2016 Accepting new patients
Internal Medicine & Primary Care of Sebastian LLC Internal Medicine CurrentSince Jan 12, 2024 Accepting new patients
Halifax Healthcare Systems Inc Hospitalist CurrentSince Dec 1, 2017 Accepting new patients
Comprehensive Hospitalists of Florida, LLC Hospitalist CurrentSince Mar 27, 2016 Accepting new patients
Hospital Physician Services of Florida PA Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Health First Medical Group, LLC Internal Medicine CurrentSince Oct 3, 2016 Accepting new patients
LVHR Services Inc PastSince Feb 28, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Sources for this page

Verify at the official NPI Registry.