Active NPI
Nilesh V Dubal, MD
- Radiation Oncology Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME159596
- Practice address
- 1130 Hickory St Ste a
Melbourne, FL 32901-1973 - Phone
- (321) 409-1956
- Fax
- (321) 409-1253
- NPI assigned
- May 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ME159596 | FL | Primary |
Addresses
Primary practice location
1130 Hickory St Ste a
Melbourne, FL 32901-1973
Mailing address
3300 S Fiske Blvd Ste 605
Rockledge, FL 32955-4306
Phone (321) 409-1956
Other practice location 1
8725 N Wickham Rd Ste 103
Melbourne, FL 32940-2240
Phone (321) 409-1956
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117331000 | Medicaid | FL | |
| QK112 | Other | FL | MEDICARE HF |
| 3889572 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Wake Forest University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 Hickory St
Melbourne, FL 32901-1973
Phone (321) 725-4500
Hospital & facility affiliations
- Holmes Regional Medical Center
- Viera Hospital
- Palm Bay Hospital
- Cape Canaveral Hospital
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME159596 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The West Clinic P.C. | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Mid South Radiation Oncology Center, LLC | Radiation Oncology | Past | Accepting new patients |
| Memphis Radiological, PC | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1130 Hickory St
Melbourne, FL 32901
Phone (321) 409-1956
1130 Hickory St
Ste A
Melbourne, FL 32901
Phone (321) 409-1956
3300 S Fiske Blvd
Ste 605
Rockledge, FL 32955
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
8725 N Wickham Rd
Ste 103
Viera, FL 32940
Phone (321) 253-4673
1381 S Germantown Rd
Germantown, TN 38138
Phone (901) 516-0583
7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000
1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
7714 Poplar Ave
Ste 200
Memphis, TN 38138
Phone (901) 322-9080
Interoperability endpoints
- ndubal27505@epicdirect.hf.org
Organizations & group practices 5
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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Specialist
- Germantown, TN
- NPI 1447276605
-
- Nuclear Radiology Physician
- Memphis, TN
- NPI 1457350514
-
- Radiation Oncology Physician
- Germantown, TN
- NPI 1063415461
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1447254776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD STE 605",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "321-409-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 HICKORY ST STE A",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011973",
"telephone_number": "321-409-1956",
"fax_number": "321-409-1253"
}
],
"practiceLocations": [
{
"address_1": "8725 N Wickham Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329402240",
"country_code": "US",
"telephone_number": "321-409-1956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBAL",
"first_name": "NILESH",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME159596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117331000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "QK112",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3889572",
"state": "TN"
}
],
"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 Nov 3, 2023; 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.