Individual provider Active NPI

Raj Vellody, MD

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1144285818
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME80286 Issued in FL
Practice address
2222 S Harbor City Blvd
Suite 420
Melbourne, FL 32901-5594
Phone
(321) 541-1783
Fax
(321) 676-9794
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME80286 FL Primary

Addresses

Primary practice location

2222 S Harbor City Blvd
Suite 420
Melbourne, FL 32901-5594

Mailing address

2222 S Harbor City Blvd
Melbourne, FL 32901-5594
Phone (321) 541-1783

Other identifiers 2

IdentifierTypeStateIssuer
110208760OtherRAIL ROAD MEDICARE
259467600MedicaidFL

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
I20100806000210 FL Practitioner - Internal Medicine 3072646314 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80286FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc. Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
RHG of Florida PA CurrentSince Jan 16, 2025 Accepting new patients
Osler Medical Inc Past Accepting new patients
Stewart and Stewart a Medical Corporation Internal Medicine Past Accepting new patients

Locations

2222 S Harbor City Blvd
Ste 420
Melbourne, FL 32901
Phone (321) 768-9914

240 N Wickham Rd
Ste 300
Melbourne, FL 32935
Phone (321) 308-5050

240 N Wickham Rd
Ste 304
Melbourne, FL 32935
Phone (321) 308-5050

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

Organizations & group practices 5

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1144285818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015594",
            "telephone_number": "321-541-1783",
            "fax_number": "321-676-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S HARBOR CITY BLVD",
            "address_2": "SUITE 420",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015594",
            "telephone_number": "321-541-1783",
            "fax_number": "321-676-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLODY",
        "first_name": "RAJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110208760",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259467600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.