Individual provider Active NPI

Ilan Melnick, M.D.

  • Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1427048115
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 94563 Issued in FL
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

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
ME 94563FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Community Services of South Florida, Inc. PastSince Apr 6, 2025 Accepting new patients
University of Miami Psychiatry Past Accepting new patients
Jewish Community Services of South Florida, Inc. PastSince Jan 14, 2010 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.

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

Verify at the official NPI Registry.