Individual provider Active NPI

James Michael Melotek, M.D.

  • Radiation Oncology Physician
  • Port St Lucie, FL
National Provider Identifier
1255696696
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME133523 Issued in FL
Practice address
8980 S US Highway 1 Ste 105
Port St Lucie, FL 34952-3482
Phone
(772) 281-3060
Fax
(772) 281-3055
NPI assigned
Jul 11, 2012
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X DEA#C7875/AU3890402 IL
Radiation Oncology Physician 2085R0001X ME133523 FL Primary

Addresses

Primary practice location

8980 S US Highway 1 Ste 105
Port St Lucie, FL 34952-3482

Mailing address

8980 S US Highway 1 Ste 105
Port St Lucie, FL 34952-3482
Phone (772) 281-3060

Other practice location 1

6141 Sunset Dr Ste 102
South Miami, FL 33143-5024
Phone (305) 669-6833

Other practice location 2

5995 SW 71st St
South Miami, FL 33143-3531
Phone (305) 669-6833

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
I20180221000799 FL Practitioner - Radiation Oncology 4082917695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Florida College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James M Melotek MD PAGroup PAC ID 5991042889, 2 clinicians

Practice addresses (Care Compare)

8980 S US Hwy 1
Suite 105
Port Saint Lucie, FL 34952-3482
Phone (772) 281-3060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME133523FLMDRadiation Oncology Physician
DEA#C7875/AU3890402ILMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beatriz E Amendola MD PA Radiation Oncology CurrentSince Dec 12, 2021 Accepting new patients
Beatriz E Amendola MD PA Radiation Oncology CurrentSince Dec 14, 2017 Accepting new patients
James M Melotek MD PA Radiation Oncology CurrentSince Sep 10, 2018 Accepting new patients

Locations

1231 N Lawnwood Cir
Ste B
Fort Pierce, FL 34950
Phone (772) 271-4830

8980 S US Highway 1
Ste 105
Port St Lucie, FL 34952
Phone (772) 281-3060

5995 SW 71st St
#1A
South Miami, FL 33143
Phone (305) 598-0811

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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 1

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1255696696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8980 S US HIGHWAY 1 STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523482",
            "telephone_number": "772-281-3060",
            "fax_number": "772-281-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8980 S US HIGHWAY 1 STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523482",
            "telephone_number": "772-281-3060",
            "fax_number": "772-281-3055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6141 Sunset Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331435024",
            "country_code": "US",
            "telephone_number": "305-669-6833",
            "fax_number": "305-666-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5995 SW 71st St",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331433531",
            "country_code": "US",
            "telephone_number": "305-669-6833",
            "fax_number": "305-666-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELOTEK",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "DEA#C7875/AU3890402",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME133523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.