Active NPI
Melvyn A. Lobo, MD
- Family Medicine Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 223096-1
- Practice address
- 1960 Pointe West Dr
Suites 101 & 102
Vero Beach, FL 32966-1302 - Phone
- (772) 564-7828
- Fax
- (772) 564-6107
- NPI assigned
- Feb 24, 2006
- Last updated
- Sep 21, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 223096-1 | NY | Primary |
Addresses
Primary practice location
1960 Pointe West Dr
Suites 101 & 102
Vero Beach, FL 32966-1302
Mailing address
1960 Pointe West Dr
Suites 101 & 102
Vero Beach, FL 32966-1302
Phone (772) 564-7828
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000499349004 | Other | NY | BSNENY |
| 200104 | Other | NY | SENIOR WHOLE HEALTH |
| 02495123 | Medicaid | NY | |
| 4151243 | Other | NY | MVP |
| 7692511 | Other | NY | AETNA |
| 070109000001 | Other | NY | FIDELIS |
| 10059187 | Other | NY | CDPHP |
| 114977 | Other | NY | GHI/HMO |
| 5780B1 | Other | NY | EMPIRE BC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 36TH St
Vero Beach, FL 32960-4862
1000 36TH St
Vero Beach, FL 32960-6592
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223096-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Health Services Inc | Family Medicine | Current | Accepting new patients |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Community Care Physicians, PC | Family Medicine | Past | Accepting new patients |
Locations
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
1960 Pointe West Dr
Ste 101
Vero Beach, FL 32966
Phone (772) 564-7828
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IRMC Physician Network-Family Practice
- Family Medicine Physician
- Vero Beach, FL
- NPI 1376850560
-
dba Behavioral Health Center
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Family Medicine Physician
- Albany, NY
- NPI 1811946775
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1447226006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 POINTE WEST DR",
"address_2": "SUITES 101 & 102",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329661302",
"telephone_number": "772-564-7828",
"fax_number": "772-564-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 POINTE WEST DR",
"address_2": "SUITES 101 & 102",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329661302",
"telephone_number": "772-564-7828",
"fax_number": "772-564-6107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBO",
"first_name": "MELVYN",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "223096-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000499349004",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR WHOLE HEALTH",
"identifier": "200104",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02495123",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "4151243",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7692511",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "070109000001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10059187",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI/HMO",
"identifier": "114977",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "5780B1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.