Individual provider Active NPI

Janet L. Colli, M.D.

  • Urology Physician
  • Melbourne, FL
National Provider Identifier
1124061890
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME80177 Issued in FL
Practice address
250 N Wickham Rd
Melbourne, FL 32935-8625
Phone
(321) 752-1200
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 36064 SC
Urology Physician 208800000X C1-0025434 DE
Urology Physician 208800000X 26741 AL
Urology Physician 208800000X 48050 TN
Urology Physician 208800000X ME80177 FL Primary

Addresses

Primary practice location

250 N Wickham Rd
Melbourne, FL 32935-8625

Mailing address

250 N Wickham Rd
Melbourne, FL 32935-8625
Phone (321) 752-1200

Other practice location 1

168 Ridge Rd
Jupiter, FL 33477-9651
Phone (727) 772-3100

Other practice location 2

13695 US Highway 1
Sebastian, FL 32958-3230
Phone (716) 603-8140

Other practice location 3

1133 Seminole Dr
Rockledge, FL 32955-2836
Phone (321) 637-2975

Other identifiers 12

IdentifierTypeStateIssuer
110230700MedicaidFL
14TX2OtherFLBCBS OF FL
H20734OtherALVIVA
051529990OtherALBLUE CROSS
360647MedicaidSC
02254886OtherMSMISSISSIPPI MEDICAID
009932127MedicaidAL
009932128MedicaidAL
372641OtherFLAVMED
P01300698OtherFLRAILROAD MCR
051529989OtherALBLUE CROSS
1881344OtherFLCIGNA

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
I20140331001432 FL Practitioner - Urology 6406885599 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26741ALMDUrology Physician
C1-0025434DEMDUrology Physician
ME80177FLMDUrology Physician
36064SCMDUrology Physician
48050TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jan 18, 2023 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Health First Medical Group, LLC CurrentSince Apr 28, 2022 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jan 18, 2023 Accepting new patients
Orlando Health Medical Group Inc Urology CurrentSince Mar 1, 2025 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 30, 2024 Accepting new patients
Health First Medical Group, LLC CurrentSince Apr 28, 2022 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Jan 18, 2023 Accepting new patients
Steward Medical Group, Inc. Urology CurrentSince Apr 30, 2024 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients
Jefferson Clinic, P.C. Urology Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

4251 Stack Blvd
Melbourne, FL 32901
Phone (321) 953-2214

8055 Spyglass Hill Rd
Ste 102
Melbourne, FL 32940
Phone (321) 255-8080

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000

1133 Seminole Dr
Rockledge, FL 32955
Phone (321) 637-2975

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jcolli2501075@direct.ccf.org
  • Direct secure messaging: jcolli71468@epicdirect.hf.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1124061890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358625",
            "telephone_number": "321-752-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358625",
            "telephone_number": "321-752-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334779651",
            "country_code": "US",
            "telephone_number": "727-772-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13695 US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329583230",
            "country_code": "US",
            "telephone_number": "716-603-8140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1133 Seminole Dr",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329552836",
            "country_code": "US",
            "telephone_number": "321-637-2975",
            "fax_number": "321-433-1935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLI",
        "first_name": "JANET",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "36064",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "DE",
            "license": "C1-0025434",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "26741",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "48050",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME80177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110230700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "14TX2",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "H20734",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051529990",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360647",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI MEDICAID",
            "identifier": "02254886",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932127",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932128",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "372641",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01300698",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051529989",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1881344",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.