Individual provider Active NPI

Mauricio Melhado, MD

  • Cardiovascular Disease Physician
  • West Palm Beach, FL
National Provider Identifier
1255323093
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME89191 Issued in FL
Practice address
3472 Forest Hill Blvd
Suite 3B
West Palm Beach, FL 33406-5864
Phone
(561) 619-3051
Fax
(561) 619-3055
NPI assigned
Aug 18, 2005
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME89191 FL Primary

Addresses

Primary practice location

3472 Forest Hill Blvd
Suite 3B
West Palm Beach, FL 33406-5864

Mailing address

3472 Forest Hill Blvd
Suite 3B
West Palm Beach, FL 33406-5864
Phone (561) 619-3051

Other identifiers 1

IdentifierTypeStateIssuer
270147200MedicaidFL

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
I20041209000498 FL Practitioner - Cardiovascular Disease (Cardiology) 2567428691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians

Practice addresses (Care Compare)

3347 S State Rd 7
100 Akumin Wellington
Wellington, FL 33449-8148
Phone (561) 795-5558

3540 Forest Hill Blvd
Suite 103
West Palm Beach, FL 33406-5878
Phone (561) 619-3051

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME89191FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Imaging, LLC CurrentSince Mar 1, 2009 Accepting new patients
Mauricio E. Melhado, M.D., P.a. Cardiovascular Disease CurrentSince Nov 16, 2015 Accepting new patients
Independent Imaging LLC CurrentSince Mar 1, 2009 Accepting new patients
Elite Imaging LLC CurrentSince Dec 15, 2021 Accepting new patients
Elite Imaging LLC Current Accepting new patients
Surgicath LLC Past Accepting new patients
Palms West Imaging Inc Past Accepting new patients
Elite Imaging, LLC Past Accepting new patients

Locations

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

701 S Main St
Belle Glade, FL 33430
Phone (561) 795-5558

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

3347 S State Road 7
Ste 100
Wellington, FL 33449
Phone (561) 795-5558

3472 Forest Hill Blvd
Ste 3B
West Palm Beach, FL 33406
Phone (561) 649-7797

3540 Forest Hill Blvd
Ste 103
West Palm Beach, FL 33406
Phone (561) 619-3051

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHBDAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHBDAD/Endpoint/CHBDAD

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1255323093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD",
            "address_2": "SUITE 3B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "561-619-3051",
            "fax_number": "561-619-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD",
            "address_2": "SUITE 3B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "561-619-3051",
            "fax_number": "561-619-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELHADO",
        "first_name": "MAURICIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME89191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270147200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.