Active NPI
Danny Rader, MD
- Addiction Medicine (Family Medicine) Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- ME139673
- Practice address
- 2120 Sarno Rd
Melbourne, FL 32935-3084 - Phone
- (321) 241-6800
- Fax
- (321) 241-6890
- NPI assigned
- Dec 20, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14752 | WV | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 14752 | WV | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | ME139673 | FL | Primary |
Addresses
Primary practice location
2120 Sarno Rd
Melbourne, FL 32935-3084
Mailing address
PO Box 1137
Melbourne, FL 32902-1137
Phone (321) 952-9696
Other practice location 1
4602 MacCorkle Ave SE
Charleston, WV 25304-1848
Phone (304) 205-7535
Other practice location 2
333 Laidley St Fl 4W
Charleston, WV 25301-1614
Phone (304) 766-4560
Other practice location 3
3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-4170
Other practice location 4
333 Laidley St Fl 4E
Charleston, WV 25301-1614
Phone (304) 766-4560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME139673 | FL | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center Inc | Past | Accepting new patients | |
| Emcare Physician Providers Inc. | Past | Accepting new patients | |
| New Century Emergency Physician of West Virginia Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Emergency Medicine Physician
- Montgomery, WV
- NPI 1982615225
-
- Emergency Medicine Physician
- Charleston, WV
- NPI 1396722641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1427034529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1137",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329021137",
"telephone_number": "321-952-9696",
"fax_number": "321-794-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 SARNO RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329353084",
"telephone_number": "321-241-6800",
"fax_number": "321-241-6890"
}
],
"practiceLocations": [
{
"address_1": "4602 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041848",
"country_code": "US",
"telephone_number": "304-205-7535",
"fax_number": "304-205-7536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 Laidley St Fl 4W",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011614",
"country_code": "US",
"telephone_number": "304-766-4560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 Maccorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041227",
"country_code": "US",
"telephone_number": "304-388-4170",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 Laidley St Fl 4E",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011614",
"country_code": "US",
"telephone_number": "304-766-4560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADER",
"first_name": "DANNY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "14752",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "WV",
"license": "14752",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "FL",
"license": "ME139673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.