NPIMap

Individual provider Active NPI

Nicholas Louis Giordano, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Melbourne, FL
National Provider Identifier
1336482694
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME136367 Issued in FL
Practice address
395 S Wickham Rd
Melbourne, FL 32904-1135
Phone
(321) 802-5021
Fax
(321) 802-4999
NPI assigned
Apr 4, 2013
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME136367 FL
Physical Medicine & Rehabilitation Physician 208100000X 290474-1 NY
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME136367 FL Primary

Addresses

Primary practice location

395 S Wickham Rd
Melbourne, FL 32904-1135

Mailing address

395 S Wickham Rd
Melbourne, FL 32904-1135
Phone (321) 802-5021

Other practice location 1

1855 Jess Parrish Ct
Titusville, FL 32796-2123
Phone (321) 802-5021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181221000426 FL Practitioner - Interventional Pain Management 2365717261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Florida Spine and PainGroup PAC ID 7618396268, 3 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

395 S Wickham Rd
Melbourne, FL 32904-1135
Phone (321) 802-5021

4270 Minton Rd
West Melbourne, FL 32904-9579
Phone (321) 984-2933

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
290474-1NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Spine and Pain LLC Physical Medicine & Rehabilitation CurrentSince Sep 17, 2020 Accepting new patients
Orthopedic Center of Titusville PL Past Accepting new patients
Genovese Drug Stores Inc PastSince Aug 15, 2017 Accepting new patients

Locations

1855 Jess Parrish Ct
Titusville, FL 32796
Phone (321) 268-0291

800 Century Medical Dr
Ste B
Titusville, FL 32796
Phone (321) 383-2122

8085 Spyglass Hill Rd
Ste 109
Viera, FL 32940
Phone (321) 622-5677

395 S Wickham Rd
West Melbourne, FL 32904
Phone (321) 802-5021

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 8

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1336482694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 S WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041135",
            "telephone_number": "321-802-5021",
            "fax_number": "321-802-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 S WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041135",
            "telephone_number": "321-802-5021",
            "fax_number": "321-802-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 Jess Parrish Ct",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327962123",
            "country_code": "US",
            "telephone_number": "321-802-5021",
            "fax_number": "321-802-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIORDANO",
        "first_name": "NICHOLAS",
        "middle_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME136367",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "290474-1",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME136367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.