Active NPI
Tristan Cartwright, MD
- Internal Medicine Physician
- Malabar, FL
National Provider Identifier
1245904689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME165612
- Practice address
- 775 Malabar Rd
Malabar, FL 32950-3112 - Phone
- (321) 241-6800
- Fax
- (321) 241-6890
- NPI assigned
- Aug 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT223924 | PA | |
| Internal Medicine Physician | 207R00000X | ME165612 | FL | Primary |
Addresses
Primary practice location
775 Malabar Rd
Malabar, FL 32950-3112
Mailing address
PO Box 1137
Melbourne, FL 32902-1137
Phone (321) 952-9696
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
775 Malabar Rd
Malabar, FL 32950-3112
Phone (321) 241-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT223924 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Health Alliance Inc | Current | Accepting new patients | |
| Brevard Health Alliance Inc | Current | Accepting new patients | |
| Brevard Health Alliance, Inc. | Current | Accepting new patients | |
| Brevard Health Alliance Inc | Past | Accepting new patients |
Locations
775 Malabar Rd
Malabar, FL 32950
Phone (321) 722-8435
2120 Sarno Rd
Melbourne, FL 32935
Phone (321) 952-9696
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Melbourne, FL
- NPI 1013355726
-
- Federally Qualified Health Center (FQHC)
- Palm Bay, FL
- NPI 1316004815
-
- Community/Retail Pharmacy
- Melbourne, FL
- NPI 1508735150
-
- Federally Qualified Health Center (FQHC)
- Palm Bay, FL
- NPI 1992750962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1245904689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1137",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329021137",
"telephone_number": "321-952-9696",
"fax_number": "321-952-7937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 MALABAR RD",
"city": "MALABAR",
"state": "FL",
"postal_code": "329503112",
"telephone_number": "321-241-6800",
"fax_number": "321-241-6890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTWRIGHT",
"first_name": "TRISTAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-08",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT223924",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME165612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malabar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.