Individual provider Active NPI

Molly L McIntyre, MD

  • Emergency Medicine Physician
  • Trinity, FL
National Provider Identifier
1124346085
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME116923 Issued in FL
Practice address
9330 State Road 54
Trinity, FL 34655-1808
Phone
(321) 749-9420
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME116923 FL Primary

Addresses

Primary practice location

9330 State Road 54
Trinity, FL 34655-1808

Mailing address

1190 E Washington St
Unit 608
Tampa, FL 33602-3706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131002000597 FL Practitioner - Emergency Medicine 6901030071 Reassigns benefits to 5 organizations
I20240210000686 MT Practitioner - Emergency Medicine 6901030071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.59 of 100Reported as apm
Quality
92.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116923FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shands/Solantic Joint Venture, LLC CurrentSince Mar 23, 2021 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC Emergency Medicine CurrentSince Feb 15, 2020 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Apr 23, 2017 Accepting new patients
Holy Rosary Healthcare Current Accepting new patients
Rockledge Emergency Group LLC Emergency Medicine CurrentSince Oct 24, 2023 Accepting new patients
Holy Rosary Healthcare CurrentSince Jan 1, 2026 Accepting new patients
Melbourne Emergency Group, LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Baxley Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

1615 E Highway 50
Ste 200
Clermont, FL 34711
Phone (352) 404-4463

3581 SW Archer Rd
Ste 40
Gainesville, FL 32608
Phone (352) 888-4449

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

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

110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500

Organizations & group practices 8

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1124346085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 E WASHINGTON ST",
            "address_2": "UNIT 608",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 STATE ROAD 54",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551808",
            "telephone_number": "321-749-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "MOLLY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME116923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.