Individual provider Active NPI

Melvyn A. Lobo, MD

  • Family Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1447226006
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
223096-1 Issued in NY
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000499349004OtherNYBSNENY
200104OtherNYSENIOR WHOLE HEALTH
02495123MedicaidNY
4151243OtherNYMVP
7692511OtherNYAETNA
070109000001OtherNYFIDELIS
10059187OtherNYCDPHP
114977OtherNYGHI/HMO
5780B1OtherNYEMPIRE 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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
223096-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
Indian River Health Services Inc CurrentSince Oct 1, 2012 Accepting new patients
Community Care Physicians, PC Family Medicine PastSince Jan 1, 1998 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.