Active NPI
David W Badolato, MD
- Family Medicine Physician
- Melbourne, FL
National Provider Identifier
1194728121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME76812
- Practice address
- 6300 N Wickham Rd
Ste 101
Melbourne, FL 32940-2028 - Phone
- (321) 253-2169
- Fax
- (321) 253-1720
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME76812 | FL | Primary |
Addresses
Primary practice location
6300 N Wickham Rd
Ste 101
Melbourne, FL 32940-2028
Mailing address
6300 N. Wickham Rd
Suite 101
Melbourne, FL 32940
Phone (321) 433-1534
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071228000432 | FL | Practitioner - Family Practice | 8820050495 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D Badolato PA | Family Medicine | Current | Accepting new patients |
Locations
6300 N Wickham Rd
Ste 101
Melbourne, FL 32940
Phone (321) 253-2169
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
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.
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Melbourne, FL
- NPI 1184183022
-
- Home Health Agency
- Winter Park, FL
- NPI 1407996267
-
- Home Health Agency
- Melbourne, FL
- NPI 1922006956
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
Hospital
-
- Home Health Agency
- Melbourne, FL
- NPI 1003194697
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Florida College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- D Badolato PA
Practice addresses (Care Compare)
6300 N Wickham Rd
Suite 101
Melbourne, FL 32940-2023
Phone (321) 253-2169
Hospital & facility affiliations
- Health First Home Care
- Firstat Nursing Services
- Home Health Care of Florida
- Concierge Home Care
- Orlando Health Melbourne Hospital
- Viera Hospital
- Cape Canaveral Hospital
- Holmes Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1194728121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 N. WICKHAM RD",
"address_2": "SUITE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32940",
"telephone_number": "321-433-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 N WICKHAM RD",
"address_2": "STE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329402028",
"telephone_number": "321-253-2169",
"fax_number": "321-253-1720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADOLATO",
"first_name": "DAVID",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME76812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.