Individual provider Active NPI

Melody Strattan, D.O.

  • Interventional Cardiology Physician
  • Port Charlotte, FL
National Provider Identifier
1487934097
Registry record updated Jun 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
OS12092 Issued in FL
Practice address
4161 Tamiami TRL Ste 701
Port Charlotte, FL 33952-9283
Phone
(941) 255-1084
Fax
(941) 629-4987
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X UO2682 FL
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X OS12092 FL Primary

Addresses

Primary practice location

4161 Tamiami TRL Ste 701
Port Charlotte, FL 33952-9283

Mailing address

4161 Tamiami TRL Ste 701
Port Charlotte, FL 33952-9283
Phone (941) 255-1084

Other practice location 1

3340 Tamiami Trl Unit 301
Port Charlotte, FL 33952-8088
Phone (941) 629-5356

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
I20180628002172 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6800169665 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Nova Southeastern Univ College of Dental Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Imaging of Southwest Florida, Inc.Group PAC ID 0143517276, 14 clinicians
Peace River Cardiovascular CenterGroup PAC ID 1052673910, 8 clinicians

Practice addresses (Care Compare)

23081 Harborview Rd
Port Charlotte, FL 33980-2153
Phone (941) 235-8762

4161 Tamiami TRL
Suite 701
Port Charlotte, FL 33952-9283
Phone (941) 629-5356

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Port Charlotte, FL, CCN 108270
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
63.33
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO2682FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peace River Cardiovascular Center Single Specialty CurrentSince Jan 4, 2021 Accepting new patients
Peace River Surgery Center CurrentSince Jan 13, 2023 Accepting new patients
American Imaging of Southwest Florida,Inc Single Specialty CurrentSince Feb 1, 2021 Accepting new patients

Locations

4161 Tamiami Trl
Port Charlotte, FL 33952
Phone (941) 235-2710

4161 Tamiami Trl
Ste 704
Port Charlotte, FL 33952
Phone (941) 423-5600

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

4161 Tamiami Trl
Ste 701
Pt Charlotte, FL 33952
Phone (941) 255-1084

4130 Tamiami Trl
Unit 301
Pt Charlotte, FL 33952
Phone (941) 421-0580

23081 Harborview Rd
Punta Gorda, FL 33980
Phone (941) 235-8762

Networks

  • Freedom Health HMO Network

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 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": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686960000000",
    "number": "1487934097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL STE 701",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529283",
            "telephone_number": "941-255-1084",
            "fax_number": "941-629-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL STE 701",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529283",
            "telephone_number": "941-255-1084",
            "fax_number": "941-629-4987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3340 Tamiami Trl Unit 301",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339528088",
            "country_code": "US",
            "telephone_number": "941-629-5356",
            "fax_number": "941-629-4987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRATTAN",
        "first_name": "MELODY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO2682",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "OS12092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.