NPIMap

Individual provider Active NPI

Paul J Melchert, MD

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1457467128
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME89979 Issued in FL
Practice address
900 Carillon Pkwy
Suite 304
St Petersburg, FL 33716-1115
Phone
(727) 561-0912
Fax
(727) 561-9306
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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 ME89979 FL Primary

Addresses

Primary practice location

900 Carillon Pkwy
Suite 304
St Petersburg, FL 33716-1115

Mailing address

PO Box 1830
Clearwater, FL 33757-1830
Phone (727) 532-0002

Other identifiers 2

IdentifierTypeStateIssuer
P00807837OtherFLMEDICARE RAILROAD PROVIDER NUMBER
272329800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000865 FL Practitioner - Family Practice 0345218996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

900 Carillon Pkwy
Suite 308
St Petersburg, FL 33716-1120
Phone (727) 561-2600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME89979FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients
St Anthony's Primary Care LLC Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients
Nautilus Health Care Group, LLC Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

1201 5th Ave N
Ste 408
St Petersburg, FL 33705
Phone (727) 894-3733

900 Carillon Pkwy
Ste 304
St Petersburg, FL 33716
Phone (727) 561-0912

900 Carillon Pkwy
Ste 303
St Petersburg, FL 33716
Phone (727) 556-0363

Interoperability endpoints

  • Direct secure messaging: paul.melchert@direct.mybaycare.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1457467128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1830",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337571830",
            "telephone_number": "727-532-0002",
            "fax_number": "727-266-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CARILLON PKWY",
            "address_2": "SUITE 304",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161115",
            "telephone_number": "727-561-0912",
            "fax_number": "727-561-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHERT",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME89979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDER NUMBER",
            "identifier": "P00807837",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272329800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.