Individual provider Active NPI

Melissa Chamblain, M.D.

  • Internal Medicine Physician
  • Jupiter, FL
National Provider Identifier
1154700151
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME141449 Issued in FL
Practice address
17781 Thelma Ave
Jupiter, FL 33458-7942
Phone
(872) 231-3162
NPI assigned
May 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 ME141449 FL Primary

Addresses

Primary practice location

17781 Thelma Ave
Jupiter, FL 33458-7942

Mailing address

PO Box 734951
Chicago, IL 60673-4951
Phone (702) 899-0595

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
I20190724001026 FL Practitioner - Internal Medicine 6406182765 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME141449FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health Southeast LLC Internal Medicine CurrentSince Dec 19, 2024 Accepting new patients
Universal Care & Wellness LLC CurrentSince Jan 6, 2025 Accepting new patients

Locations

2700 W Cypress Creek Rd
Ste B100
Ft Lauderdale, FL 33309
Phone (754) 243-5641

17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998

1710 Lucerne Ave
Lake Worth Beach, FL 33460
Phone (561) 582-1912

750 Bayberry Dr
West Palm Beach, FL 33403
Phone (561) 844-4396

2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130

Organizations & group practices 2

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": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1154700151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734951",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734951",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17781 THELMA AVE",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587942",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLAIN",
        "first_name": "MELISSA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME141449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.