Dwayne K Badgett, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

ME91509 Issued in FL

Practice address

8055 Spyglass Hill Rd Ste 102
Melbourne, FL 32940-8564

Phone

(321) 255-8080

Fax

(321) 242-2313

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Vascular Surgery

Education

Boston University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
• Parrish Medical Center Hospital, Titusville, FL, CCN 100028

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (6 of 8)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: dwayne.badgett.1@15594.direct.athenahealth.com

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.

• Orlando Health Medical Group Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1669429577

  FL

  Medicare reassignment Care Compare group NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495

  FL

  Medicare reassignment NPD
• Orlando Health Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Winter Park, FL
  • NPI 1265019541
  Care Compare group NPD
• Steward Medical Group, Inc.

  • Urology Physician
  • Cocoa, FL
  • NPI 1104367630
  NPD
• Rowansom Dept of Surgery

  • Surgery Physician
  • Stratford, NJ
  • NPI 1952371494
  NPD (past)
• Stewart and Stewart a Medical Corporation

  • Family Medicine Physician
  • Alhambra, CA
  • NPI 1306058565
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Brevard County Hospital District

  • General Acute Care Hospital
  • Titusville, FL
  • NPI 1053424648

  Hospital

  Care Compare affiliation
• Ohmh, LLC

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1033937883

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1497748404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 SPYGLASS HILL RD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408564",
            "telephone_number": "321-255-8080",
            "fax_number": "321-242-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 SPYGLASS HILL RD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408564",
            "telephone_number": "321-255-8080",
            "fax_number": "321-242-2313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8055 Spyglass Hill Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408564",
            "country_code": "US",
            "telephone_number": "321-255-8080",
            "fax_number": "321-242-2313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADGETT",
        "first_name": "DWAYNE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME91509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281097200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME91509",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Backup Care Angels LLC
• Alison Badders, APRN, FNP-BC
• Mary Baddour, DDS
• Patrick Anthony Baden, DPT
• Angelica Lisa Bader
• Craig J Badolato, MD
• David W Badolato, MD
• Stephen K Badolato, MD
• Mackenzie Baehr, PTA
• Priscilla Baer Schimkus, BCBA

• All providers in Melbourne, FL
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.