Active NPI
Daniel Melman, MD
- Internal Medicine Physician
- Lauderdale Lakes, FL
National Provider Identifier
1104814615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME40147
- Practice address
- 5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503 - Phone
- (954) 735-6000
- NPI assigned
- Oct 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | ME40147 | FL | |
| Internal Medicine Physician | 207R00000X | ME40147 | FL | Primary |
Addresses
Primary practice location
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503
Mailing address
1311 NE 1St St
Ft Lauderdale, FL 33301-1711
Phone (786) 556-2567
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268739900 | Medicaid | FL | |
| 95947V | Other | FL | MEDICARE PTAN |
| P00436794 | Other | FL | MEDICATE RAILROAD PTAN |
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 |
|---|---|---|---|---|
| I20040318000776 | FL | Practitioner - Internal Medicine | 1759271109 | Practice locations: Lauderdale Lakes, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME40147 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Biscayne Medical Center Inc | Internal Medicine | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1902110844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1104814615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 NE 1ST ST",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333011711",
"telephone_number": "786-556-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 W OAKLAND PARK BLVD",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333131503",
"telephone_number": "954-735-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELMAN",
"first_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "FL",
"license": "ME40147",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME40147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268739900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "95947V",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICATE RAILROAD PTAN",
"identifier": "P00436794",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.