Individual provider Active NPI

John Andrew Palsis, MD

  • Orthopaedic Surgery Physician
  • Melbourne, FL
National Provider Identifier
1174966378
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME140064 Issued in FL
Practice address
200 E Hibiscus Blvd
Melbourne, FL 32901-3156
Phone
(321) 361-5550
Fax
(321) 728-7553
NPI assigned
Apr 8, 2013
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME140064 FL Primary

Addresses

Primary practice location

200 E Hibiscus Blvd
Melbourne, FL 32901-3156

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 361-5550

Other practice location 1

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

Other identifiers 2

IdentifierTypeStateIssuer
LM624OtherFLMEDICARE
104109100MedicaidFL

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
I20190819001450 FL Practitioner - Orthopedic Surgery 3274822085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Physician Specialties IncGroup PAC ID 9537229646, 58 clinicians
Beyond the Scope Orthopaedics and Sports MedicineGroup PAC ID 8820494206, 3 clinicians
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000

200 E Hibiscus Blvd
Melbourne, FL 32901-3156
Phone (321) 361-5550

205 E Nasa Blvd
Melbourne, FL 32901-1937
Phone (321) 725-4500

2225 S Babcock St
Melbourne, FL 32901-5305
Phone (321) 425-4321

3680 N Wickham Rd
Melbourne, FL 32935-2327
Phone (321) 255-5500

4270 Minton Rd
West Melbourne, FL 32904-9579
Phone (321) 984-2933

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement14
Lower limb (leg) arthroscopy (minimally invasive joint repair)34
Upper limb (arm) arthroscopy (minimally invasive joint repair)100
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140064FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC Sports Medicine CurrentSince Sep 3, 2019 Accepting new patients
Health First Physician Specialties Inc CurrentSince Jan 3, 2021 Accepting new patients
Beyond the Scope Orthopaedics and Sports Medicine Sports Medicine CurrentSince Apr 7, 2021 Accepting new patients
Health First Medical Group, LLC Orthopaedic Surgery CurrentSince Sep 3, 2019 Accepting new patients

Locations

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

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

200 E Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 361-5550

2010 W Eau Gallie Blvd
Unit 104
Melbourne, FL 32935
Phone (305) 609-7688

205 E Nasa Blvd
Melbourne, FL 32901
Phone (321) 361-5624

205 E Nasa Blvd
Fl 1
Melbourne, FL 32901
Phone (321) 361-5578

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24207/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.palsis.1@24207.direct.athenahealth.com
  • Direct secure messaging: jpalsis71370@epicdirect.hf.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1174966378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-361-5550",
            "fax_number": "321-728-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013156",
            "telephone_number": "321-361-5550",
            "fax_number": "321-728-7553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1401",
            "fax_number": "321-434-1667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALSIS",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME140064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "LM624",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104109100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.