Individual provider Active NPI

Mohamed E Meleis, M.D.

  • Internal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1396742342
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME139910 Issued in FL
Practice address
339 Cypress Pkwy Ste 100
Kissimmee, FL 34759-3315
Phone
(407) 343-3333
Fax
(407) 343-8888
NPI assigned
Jul 6, 2005
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05673800 NJ
Internal Medicine Physician 207R00000X ME139910 FL Primary

Addresses

Primary practice location

339 Cypress Pkwy Ste 100
Kissimmee, FL 34759-3315

Mailing address

339 Cypress Pkwy Ste 100
Kissimmee, FL 34759-3315
Phone (407) 343-3333

Other identifiers 1

IdentifierTypeStateIssuer
5591406MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050210000529 NJ Practitioner - Internal Medicine 3173574415 Reassigns benefits to 2 organizations
I20220817000568 FL Practitioner - Internal Medicine 3173574415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

339 Cypress Pkwy
Suite 100
Kissimmee, FL 34759-3315
Phone (407) 343-3333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Health Care Associates LLC Internal Medicine CurrentSince Mar 1, 2019 Accepting new patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Sep 18, 2023 Accepting new patients
Meleis Medical Group LLC Internal Medicine CurrentSince Jul 14, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

141 E Central Ave
Ste 100
Winter Haven, FL 33880
Phone (863) 619-5999

300 South Ave
Garwood, NJ 07027
Phone (908) 232-2273

233 Middle Rd
Ste 2
Hazlet, NJ 07730
Phone (732) 335-0900

2005 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 381-3740

33 Overlook Rd
Ste 304
Summit, NJ 07901
Phone (732) 381-3740

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1396742342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 CYPRESS PKWY STE 100",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593315",
            "telephone_number": "407-343-3333",
            "fax_number": "407-343-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 CYPRESS PKWY STE 100",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593315",
            "telephone_number": "407-343-3333",
            "fax_number": "407-343-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELEIS",
        "first_name": "MOHAMED",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05673800",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME139910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5591406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.