Individual provider Active NPI

Naveen Kumar, MD

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1295729200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME80294 Issued in FL
Practice address
5462 Emma Lake CT
Melbourne, FL 32934-2838
Phone
(321) 752-4246
Fax
(321) 952-6296
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME80294 FL Primary

Addresses

Primary practice location

5462 Emma Lake CT
Melbourne, FL 32934-2838

Mailing address

5462 Emma Lake CT
Melbourne, FL 32934-2838
Phone (321) 752-4246

Other identifiers 1

IdentifierTypeStateIssuer
35331OtherFLBLUECROSS BLUESHIELD

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
I20070801000504 FL Practitioner - Internal Medicine 8426149782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1350 S Hickory St
Melbourne, FL 32901-3247
Phone (321) 434-7000

1616 S Apollo Blvd
Melbourne, FL 32901-4408
Phone (321) 409-9577

765 W Nasa Blvd
Melbourne, FL 32901-1815
Phone (321) 409-4044

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Kindred Hospital Melbourne Inpatient rehabilitation facility, Melbourne, FL, CCN 10TA27
  • Kindred Hospital Melbourne Long-term care hospital, Melbourne, FL, CCN 102027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Jan 23, 2017 Accepting new patients
Healthy Journeys Inc CurrentSince Feb 2, 2007 Accepting new patients
KND Development 59 LLC CurrentSince Jan 23, 2017 Accepting new patients
Medical Associates of Brevard LLC Past Accepting new patients

Locations

1616 S Apollo Blvd
Melbourne, FL 32901
Phone (321) 364-1001

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

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

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

Interoperability endpoints

  • Direct secure messaging: nkumar71709@epicdirect.hf.org

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.

Hospital & facility affiliations 4

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295729200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5462 EMMA LAKE CT",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329342838",
            "telephone_number": "321-752-4246",
            "fax_number": "321-952-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5462 EMMA LAKE CT",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329342838",
            "telephone_number": "321-752-4246",
            "fax_number": "321-952-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "NAVEEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "35331",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.