Active NPI
Victor Wady Melgen, M.D.
- Medical Oncology Physician
- Orange City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- ME52934
- Practice address
- 765 Image Way
Orange City, FL 32763 - Phone
- (386) 774-7411
- Fax
- (386) 774-7412
- NPI assigned
- May 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | ME52934 | FL | Primary |
Addresses
Primary practice location
765 Image Way
Orange City, FL 32763
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035004400 | Medicaid | FL | |
| 07806 | Other | FL | BLUE CROSS BLUE SHIELD |
| 1227562 | Other | FL | UNITED HEALTHCARE |
| 700979 | Other | FL | HMO |
| P00178570 | Other | FL | PALMETTO GBA |
| 4534587 | Other | FL | AETNA PPO |
| ME 52934 | Other | FL | MEDICAL LICENSE |
| 006583 | Other | FL | FLORIDA HEALTHCARE |
| 214866 | Other | FL | AVMED HEALTHCARE |
| 3968419008 | Other | FL | CIGNA HEALTHCARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
805 Currency Cir
Lake Mary, FL 32746-2115
Phone (407) 804-6133
810 N Spring Garden Avenue
Florida Cancer Specialist P L
Deland, FL 32720-3106
Phone (386) 943-9446
9320 State Rd
Suite 54
Trinity, FL 34655-1808
Phone (727) 842-8411
Hospital & facility affiliations
- Adventhealth Fish Memorial
- Adventhealth Deland
- Central Florida Lake Monroe Hospital
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME52934 | FL | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Hematology & Oncology | Current | Accepting new patients |
| Florida Cancer Specialists & Research Institute, LLC | Hematology & Oncology | Past | Accepting new patients |
| Florida Cancer Specialists & Research Institute, LLC | Hematology & Oncology | Past | Accepting new patients |
| Advanced Hematology and Oncology Centers | Specialist | Past | Accepting new patients |
Locations
810 N Spring Garden Ave
Ste 100
Deland, FL 32720
Phone (386) 279-0060
4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500
805 Currency Cir
Lake Mary, FL 32746
Phone (407) 804-6133
2824 Enterprise Rd
Orange City, FL 32763
Phone (386) 774-7411
765 Image Way
Orange City, FL 32763
Phone (386) 774-7411
1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
Hematology & Oncology
-
- Specialist
- Orange City, FL
- NPI 1902903172
-
- Medical Oncology Physician
- Bradenton, FL
- NPI 1508973231
Hematology & Oncology
-
- Hematology & Oncology Physician
- Lake Mary, FL
- NPI 1568750644
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba HCA Florida Lake Monroe Hospital
- General Acute Care Hospital
- Sanford, FL
- NPI 1285681908
-
dba AdventHealth DeLand
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
-
dba AdventHealth Fish Memorial
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
dba Adventhealth Medical Group
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1386693331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200",
"fax_number": "239-278-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 IMAGE WAY",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "32763",
"telephone_number": "386-774-7411",
"fax_number": "386-774-7412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELGEN",
"first_name": "VICTOR",
"middle_name": "WADY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": "ME52934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035004400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "07806",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1227562",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "700979",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "P00178570",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4534587",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME 52934",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA HEALTHCARE",
"identifier": "006583",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED HEALTHCARE",
"identifier": "214866",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "3968419008",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.