Individual provider Active NPI

Andres Melendez-Dedos, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Fort Myers, FL
National Provider Identifier
1487629606
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME3261857 Issued in FL
Practice address
7331 College Pkwy Ste 300
Fort Myers, FL 33907-5524
Phone
(239) 337-2003
Fax
(239) 337-3168
NPI assigned
Feb 21, 2006
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 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 ME3261857 FL Primary

Addresses

Primary practice location

7331 College Pkwy Ste 300
Fort Myers, FL 33907-5524

Mailing address

7331 College Pkwy Ste 300
Fort Myers, FL 33907-5524
Phone (239) 337-2003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111229000399 PR Practitioner - Pain ManagementPractitioner - Anesthesiology 0042384877 Practice locations: San Juan, PR
I20170525001936 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 0042384877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Puerto Rico School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Joint Implant Surgeons of Florida PAGroup PAC ID 7911909510, 25 clinicians

Practice addresses (Care Compare)

4316 Lee Blvd
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

7331 College Pkwy
Suite 300
Fort Myers, FL 33907-5524
Phone (239) 337-2003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME3261857FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Implant Surgeons of Florida PA CurrentSince Apr 3, 2017 Accepting new patients
Joint Implant Surgeons of Florida PA Pain Medicine CurrentSince Apr 3, 2017 Accepting new patients

Locations

7331 College Pkwy
Ste 300
Fort Myers, FL 33907
Phone (239) 337-2003

Organizations & group practices 2

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 4

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1487629606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 COLLEGE PKWY STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075524",
            "telephone_number": "239-337-2003",
            "fax_number": "239-337-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 COLLEGE PKWY STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075524",
            "telephone_number": "239-337-2003",
            "fax_number": "239-337-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ-DEDOS",
        "first_name": "ANDRES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME3261857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.