Active NPI
Marisse Padron, MD
- Pediatrics Physician
- Palm Bay, FL
National Provider Identifier
1306577671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0173626
- Practice address
- 600 Malabar Rd SE
Palm Bay, FL 32907-3105 - Phone
- (407) 650-7313
- NPI assigned
- Jun 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0173626 | FL | Primary |
Addresses
Primary practice location
600 Malabar Rd SE
Palm Bay, FL 32907-3105
Mailing address
600 Malabar Rd SE
Palm Bay, FL 32907-3105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0173626 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Health Alliance, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- mpadron118909@direct.nemours.org
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Orlando, FL
- NPI 1366709321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1306577671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 MALABAR RD SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329073105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MALABAR RD SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329073105",
"telephone_number": "407-650-7313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADRON",
"first_name": "MARISSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-18",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0173626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.