Active NPI
Ilan Melnick, M.D.
- Psychiatry Physician
- Coral Gables, FL
National Provider Identifier
1427048115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME 94563
- Practice address
- 401 Coral Way
#208A
Coral Gables, FL 33134-4930 - Phone
- (786) 564-9844
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME 94563 | FL | Primary |
Addresses
Primary practice location
401 Coral Way
#208A
Coral Gables, FL 33134-4930
Mailing address
401 Coral Way
#208A
Coral Gables, FL 33134-4930
Phone (786) 564-9844
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2019 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 94563 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Community Services of South Florida, Inc. | Past | Accepting new patients | |
| University of Miami | Psychiatry | Past | Accepting new patients |
| Jewish Community Services of South Florida, 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.
-
- Home Delivered Meals
- North Miami, FL
- NPI 1609670702
-
- Mental Health Counselor
- North Miami, FL
- NPI 1831167246
-
- Psychiatry Physician
- Miami, FL
- NPI 1437109048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1427048115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CORAL WAY",
"address_2": "#208A",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344930",
"telephone_number": "786-564-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CORAL WAY",
"address_2": "#208A",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344930",
"telephone_number": "786-564-9844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELNICK",
"first_name": "ILAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME 94563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.