Individual provider Active NPI

Melissa Iglesias, D.O.

  • Ophthalmology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1225112634
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS12688 Issued in FL
Practice address
11641 Kew Gardens Ave Ste 209
Palm Beach Gardens, FL 33410-2846
Phone
(561) 331-3833
Fax
(561) 331-3893
NPI assigned
Oct 24, 2006
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS12688 FL Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X OS12688 FL

Addresses

Primary practice location

11641 Kew Gardens Ave Ste 209
Palm Beach Gardens, FL 33410-2846

Mailing address

11641 Kew Gardens Ave Ste 209
Palm Beach Gardens, FL 33410-2846
Phone (561) 331-3833

Other practice location 1

10075 S Jog Rd Ste 203
Boynton Beach, FL 33437-3536
Phone (561) 767-9999

Other identifiers 2

IdentifierTypeStateIssuer
102436007MedicaidPA
012387200MedicaidFL

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
I20140815001711 FL Practitioner - Ophthalmology 8325176001 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David a. Goldman MD, LLCGroup PAC ID 0143470088, 5 clinicians

Practice addresses (Care Compare)

3502 Kyoto Gardens Dr
Suite B
Palm Beach Gardens, FL 33410-2899
Phone (561) 630-7120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12688FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deval D Joshi MD PLLC CurrentSince Dec 1, 2020 Accepting new patients
Iglesias Eye Associates LLC Ophthalmology CurrentSince Jun 10, 2021 Accepting new patients
David a. Goldman MD, LLC Ophthalmology CurrentSince Jul 10, 2025 Accepting new patients
Palm Beach Outpatient Surgical Center, LLC PastSince Mar 24, 2025 Accepting new patients
Eye Physicians of Florida LLP Ophthalmology PastSince Jul 10, 2025 Accepting new patients
Collazo Ophthalmology & Optometry Ophthalmology Past Accepting new patients
Iglesias Eye Care PLLC Ophthalmology PastSince Dec 17, 2012 Accepting new patients
Palm Beach Eye Center Inc Ophthalmology Past Accepting new patients

Locations

10075 S Jog Rd
Ste 203
Boynton Beach, FL 33437
Phone (561) 530-8744

11641 Kew Gardens Ave
Ste 209
Palm Beach Gardens, FL 33410
Phone (561) 331-3833

3502 Kyoto Gardens Dr
Ste B
Palm Beach Gardens, FL 33410
Phone (561) 630-7120

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://goldman.mmi.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: miglesias20080@jupitermedicalcenter.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1225112634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11641 KEW GARDENS AVE STE 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102846",
            "telephone_number": "561-331-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11641 KEW GARDENS AVE STE 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102846",
            "telephone_number": "561-331-3833",
            "fax_number": "561-331-3893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10075 S Jog Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373536",
            "country_code": "US",
            "telephone_number": "561-767-9999",
            "fax_number": "855-699-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS12688",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "OS12688",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102436007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012387200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.