John Melecito Baga, M.D.
Individual provider Active NPI Internal Medicine Physician · Nokomis, FL
NPI 1407090921 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1407090921
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME 104215 (FL)
- Practice address
- 5504 Pinebrook Rd Ste 106
Nokomis, FL 34275-3673 - Phone
- (941) 218-6200
- Fax
- (941) 218-6182
- NPI assigned
- Apr 28, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Millennium Physician Group LLC
Practice addresses (Care Compare)
1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364
13807 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 257-1108
13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900
13823 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 888-0770
1700 E Venice Ave
Venice, FL 34292-3190
Phone (941) 800-4700
171 Ctr Rd
Venice, FL 34285-5572
Phone (941) 499-5407
1720 E Venice Ave
Venice, FL 34292-3190
Phone (941) 483-9700
177 Ctr Rd
Venice, FL 34285-5572
Phone (941) 207-5350
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
2315 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 613-2222
2335 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 787-7665
2343 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 629-2900
2675 Winkler Ave
Fort Myers, FL 33901-9328
2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328
3000 S McCall Rd
Englewood, FL 34224-8616
Phone (941) 406-9029
5504 Pinebrook Rd
Suite 106
Nokomis, FL 34275-3673
Phone (941) 218-6200
900 Pine St
Suite 221
Englewood, FL 34223-4458
Phone (941) 548-1708
Hospital & facility affiliations
- Trilogy Home Healthcare
- Millennium Home Care LLC
- Amedisys Home Health
- Patients First Home Care LLC
- Aveanna Home Health
- Affinity Care of Sarasota
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
- Pam Health Rehabilitation Hospital of Venice
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090812000437 | FL | Practitioner - Internal Medicine | 8527112465 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 104215 | FL | MD | Internal Medicine Physician |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current |
Accepting new patients | |
| Millennium Physician Group LLC | Internal Medicine | Current |
Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
5504 Pinebrook Rd
Ste 106
Nokomis, FL 34275
Phone (941) 218-6200
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
1720 E Venice Ave
Venice, FL 34292
Phone (941) 483-9700
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- john.baga.1@4290.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 104215 | FL | Yes |
Addresses
Primary practice location
5504 Pinebrook Rd Ste 106
Nokomis, FL 34275-3673
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other providers in Nokomis, FL
- Lauren Blair Arcilla
- Madison Asbury
- William Albert Atz
- Aurora Home Health Inc
- Aurora Hospice Inc
- Michele Battaglia
- Bella-Cesca International, LLC
- Naira J Bellinghieri
- Best Choice Hospice Inc
- Better Life Counseling Center LLC
All providers in Nokomis, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.