Individual provider Active NPI

Regina Luwanda Morris Solis, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Melbourne, FL
National Provider Identifier
1477823904
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME115021 Issued in FL
Practice address
20 E Melbourne Ave Ste 102
Melbourne, FL 32901-5970
Phone
(877) 377-6547
Fax
(561) 941-4041
NPI assigned
Dec 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME115021 FL Primary

Addresses

Primary practice location

20 E Melbourne Ave Ste 102
Melbourne, FL 32901-5970

Mailing address

20 E Melbourne Ave Ste 102
Melbourne, FL 32901-5970
Phone (877) 377-6547

Other identifiers 2

IdentifierTypeStateIssuer
107610800MedicaidFL
TMF15OtherFLBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180320000356 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 5597991869 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Creighton University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 E Melbourne Ave
Suite 102
Melbourne, FL 32901-5970
Phone (877) 377-6547

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115021FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Sep 9, 2019 Accepting new patients
Advanced Pain Management Solutions Pain Medicine CurrentSince Feb 28, 2024 Accepting new patients
Brevard Orthopaedic Spine & Pain Clinic Inc CurrentSince Feb 19, 2018 Accepting new patients
Steward Medical Group, Inc. CurrentSince Sep 9, 2019 Accepting new patients
Anesthesia Services of Brevard PastSince Feb 1, 2024 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

20 E Melbourne Ave
Ste 102
Melbourne, FL 32901
Phone (877) 377-6547

2222 S Harbor City Blvd
Ste 610
Melbourne, FL 32901
Phone (321) 541-1537

2222 S Harbor City Blvd
Ste 450
Melbourne, FL 32901
Phone (321) 541-1715

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

Interoperability endpoints

  • Direct secure messaging: regina.morris.solis.1@30979.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1477823904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E MELBOURNE AVE STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015970",
            "telephone_number": "877-377-6547",
            "fax_number": "561-941-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E MELBOURNE AVE STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015970",
            "telephone_number": "877-377-6547",
            "fax_number": "561-941-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS SOLIS",
        "first_name": "REGINA",
        "middle_name": "LUWANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME115021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107610800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "TMF15",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.