Way Concierge Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WAY CONCIERGE MEDICINE LLC

Practice address

8131 Lakewood Main St Ste 205
Lakewood Ranch, FL 34202-5060

Phone

(860) 970-1303

Fax

(941) 344-0621

NPI assigned

Sep 24, 2025

Organization subpart

No

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

Authorized official

Name

Andre De Souza E Melo, MDNPI 1720430788

Title

Owner

Phone

(860) 970-1303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andre De Souza E Melo, M.D.

  • Internal Medicine Physician
  • Lakewood Ranch, FL
  • NPI 1720430788
  NPD Authorized official

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1174496418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 LAKEWOOD MAIN ST STE 205",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025060",
            "telephone_number": "860-970-1303",
            "fax_number": "941-344-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 LAKEWOOD MAIN ST STE 205",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025060",
            "telephone_number": "860-970-1303",
            "fax_number": "941-344-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY CONCIERGE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "DE SOUZA E MELO",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-970-1303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.