Individual provider Active NPI

Jose Manuel Melendez-Rosado, M.D.

  • Gastroenterology Physician
  • Lake Worth, FL
National Provider Identifier
1356786628
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME121413 Issued in FL
Practice address
5065 S State Road 7 Ste 201
Lake Worth, FL 33449-5439
Phone
(561) 753-7487
Fax
(561) 273-2331
NPI assigned
May 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME121413 FL Primary

Addresses

Primary practice location

5065 S State Road 7 Ste 201
Lake Worth, FL 33449-5439

Mailing address

5065 S State Road 7 Ste 201
Lake Worth, FL 33449-5439
Phone (561) 753-7487

Other practice location 1

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

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
I20190719001382 FL Practitioner - Gastroenterology 2466695598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Ponce School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eisenman and Eisenman M.D.,LLCGroup PAC ID 9335162700, 5 clinicians

Practice addresses (Care Compare)

112 S WC Owen Ave
Clewiston, FL 33440-3644
Phone (561) 753-7487

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy56
Upper gastrointestinal (GI) endoscopy for acid reflux34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121413FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenman & Eisenman,M.D.,LLC Gastroenterology CurrentSince Aug 1, 2019 Accepting new patients

Locations

5065 S State Road 7
Ste 201
Lake Worth, FL 33449
Phone (561) 753-7487

5065 S State Road 7
Lake Worth, FL 33449
Phone (561) 273-2340

12989 Southern Blvd
Ste 202
Loxahatchee, FL 33470
Phone (561) 753-7487

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.

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1356786628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 S STATE ROAD 7 STE 201",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495439",
            "telephone_number": "561-753-7487",
            "fax_number": "561-273-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 S STATE ROAD 7 STE 201",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495439",
            "telephone_number": "561-753-7487",
            "fax_number": "561-273-2331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 San Pablo Rd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322241865",
            "country_code": "US",
            "telephone_number": "904-953-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELENDEZ-ROSADO",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME121413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.