Individual provider Active NPI

David A Melendez, M.D.

  • Urology Physician
  • Kissimmee, FL
National Provider Identifier
1205190683
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME147297 Issued in FL
Practice address
591 Oak Commons Blvd
Kissimmee, FL 34741-4202
Phone
(407) 943-7100
Fax
(407) 943-7328
NPI assigned
Jun 29, 2012
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME147297 FL Primary

Addresses

Primary practice location

591 Oak Commons Blvd
Kissimmee, FL 34741-4202

Mailing address

591 Oak Commons Blvd
Kissimmee, FL 34741-4202
Phone (407) 943-7100

Other identifiers 1

IdentifierTypeStateIssuer
108303900MedicaidFL

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
I20201023001709 FL Practitioner - Urology 6709183619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Florida Physician Network LLCGroup PAC ID 5193895969, 10 clinicians

Practice addresses (Care Compare)

591 Oak Commons Blvd
Kissimmee, FL 34741-4202
Phone (407) 943-7100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME147297FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 2, 2020 Accepting new patients
Orlando Health Medical Group Inc Urology CurrentSince Dec 2, 2020 Accepting new patients
Central Florida Physician Network LLC Urology CurrentSince Jan 9, 2023 Accepting new patients

Locations

591 Oak Commons Blvd
Kissimmee, FL 34741
Phone (407) 343-2700

303 E Par St
Orlando, FL 32804
Phone (321) 841-9360

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1330 Budinger Ave
Ste 206
Saint Cloud, FL 34769
Phone (407) 498-3763

1600 Budinger Ave
Ste D
Saint Cloud, FL 34769
Phone (407) 826-3006

1401 W Seminole Blvd
Fl Regi
Sanford, FL 32771
Phone (407) 302-2620

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: david.melendez@hca4.eclinicaldirectplus.com
  • Direct secure messaging: dmelendez175827@orlandohealth.medalliesdirect.net

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 2

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1205190683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 OAK COMMONS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414202",
            "telephone_number": "407-943-7100",
            "fax_number": "407-943-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 OAK COMMONS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414202",
            "telephone_number": "407-943-7100",
            "fax_number": "407-943-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME147297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108303900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.