Individual provider Active NPI

Simmy Jerry Pinto, MD

  • Pulmonary Disease Physician
  • Melbourne, FL
National Provider Identifier
1235197781
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME77004 Issued in FL
Practice address
402 N Babcock St
Suite 402
Melbourne, FL 32935-7335
Phone
(321) 327-2440
Fax
(321) 345-4815
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X ME77004 FL
Pulmonary Disease Physician 207RP1001X ME77004 FL Primary

Addresses

Primary practice location

402 N Babcock St
Suite 402
Melbourne, FL 32935-7335

Mailing address

402 N Babcock St
Suite 402
Melbourne, FL 32935-7335
Phone (321) 241-6540

Other identifiers 1

IdentifierTypeStateIssuer
255692800MedicaidFL

Other names 1

  • S. Jerry Pinto Other name

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
I20040122000014 FL Practitioner - Pulmonary Disease 0446152326 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians
Medical Associates of Brevard LLCGroup PAC ID 4486558012, 75 clinicians

Practice addresses (Care Compare)

1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8121

402 N Babcock St
Suite 102
Melbourne, FL 32935-7335
Phone (321) 241-6540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME77004FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Current Accepting new patients
Oniro LLC CurrentSince Jan 1, 2022 Accepting new patients
KND Development 59 LLC CurrentSince Feb 11, 2016 Accepting new patients
Health First Medical Group, LLC CurrentSince Nov 18, 2018 Accepting new patients
Space Coast Sleep Disorders Center LLC CurrentSince Jan 2, 2024 Accepting new patients
Health First Medical Group, LLC CurrentSince Nov 18, 2018 Accepting new patients
Medical Associates of Brevard LLC CurrentSince May 5, 2011 Accepting new patients
KND Development 59, LLC CurrentSince Feb 11, 2016 Accepting new patients
Total Sleep Management Inc CurrentSince May 16, 2016 Accepting new patients
Osler Medical Inc PastSince Jul 1, 2002 Accepting new patients

Locations

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

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

765 W Nasa Blvd
Melbourne, FL 32901
Phone (321) 409-4044

1301 Hickory St
Melbourne, FL 32901
Phone (321) 434-7000

298 Michigan Ave
Melbourne, FL 32901
Phone (321) 610-3907

1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500

240 N Wickham Rd
Ste 300
Melbourne, FL 32935
Phone (321) 308-5050

2200 W Eau Gallie Blvd
Ste 202A
Melbourne, FL 32935
Phone (321) 253-1992

1314 Oak St
Melbourne, FL 32901
Phone (321) 610-3907

402 N Babcock St
Ste 102
Melbourne, FL 32935
Phone (321) 241-6540

930 S Harbor City Blvd
Melbourne, FL 32901
Phone 3217255050614

1400 Pine St
Melbourne, FL 32901
Phone (321) 265-3462

95 Bulldog Blvd
Ste 204
Melbourne, FL 32901
Phone (321) 327-2440

1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

Interoperability endpoints

  • Direct secure messaging: simmypinto@mab.medentdirect.com
  • Direct secure messaging: spinto71689@epicdirect.hf.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

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 8

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1235197781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N BABCOCK ST",
            "address_2": "SUITE 402",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357335",
            "telephone_number": "321-241-6540",
            "fax_number": "321-345-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N BABCOCK ST",
            "address_2": "SUITE 402",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357335",
            "telephone_number": "321-327-2440",
            "fax_number": "321-345-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTO",
        "first_name": "SIMMY",
        "middle_name": "JERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME77004",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME77004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255692800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S. JERRY",
            "last_name": "PINTO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.