Individual provider Active NPI

Jared Briant Moyles, D.P.M

  • Podiatrist
  • Melbourne, FL
National Provider Identifier
1457589244
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3545 Issued in FL
Practice address
1515 Dr Martin Luther King Jr Blvd
Melbourne, FL 32901-2946
Phone
(321) 723-3500
Fax
(321) 723-1945
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3545 FL Primary

Addresses

Primary practice location

1515 Dr Martin Luther King Jr Blvd
Melbourne, FL 32901-2946

Mailing address

1515 Dr Martin Luther King Jr Blvd
Melbourne, FL 32901-2946
Phone (321) 723-3500

Other practice location 1

590 Malabar Rd SE Ste 5
Melbourne, FL 32907-3108
Phone (321) 500-3668

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000527 FL Practitioner - Podiatry 9436305729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melbourne Podiatry Associates, P.a.Group PAC ID 2769567882, 4 clinicians

Practice addresses (Care Compare)

1515 Dr Martin Luther King Jr Blvd
Melbourne, FL 32901-2946
Phone (321) 723-3500

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as group
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue86
Removal of skin lesions25
Removal of nail tissue367
Removal or shaving of skin growth254
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Briant G. Moyles D.P.M., P.a. Podiatrist CurrentSince Feb 26, 2023 Accepting new patients
Melbourne Podiatry Associates, P.a. Podiatrist CurrentSince Jul 1, 2012 Accepting new patients
Briant G Moyles DPM PA Podiatrist PastSince Jul 1, 2012 Accepting new patients

Locations

1515 Dr Martin Luther King Jr Blvd
Melbourne, FL 32901
Phone (321) 723-3500

211 E New Haven Ave
Melbourne, FL 32901
Phone (321) 255-3338

590 Malabar Rd SE
Ste 5
Palm Bay, FL 32907
Phone (321) 500-3668

Interoperability endpoints

  • Direct secure messaging: jmoyles71441@epicdirect.hf.org

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.

Hospital & facility affiliations 2

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1457589244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DR MARTIN LUTHER KING JR BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012946",
            "telephone_number": "321-723-3500",
            "fax_number": "321-723-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 DR MARTIN LUTHER KING JR BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012946",
            "telephone_number": "321-723-3500",
            "fax_number": "321-723-1945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Malabar Rd SE Ste 5",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329073108",
            "country_code": "US",
            "telephone_number": "321-500-3668",
            "fax_number": "321-327-7248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYLES",
        "first_name": "JARED",
        "middle_name": "BRIANT",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.