Individual provider Active NPI

Daniel Lai, MD

  • Neurology Physician
  • Melbourne, FL
National Provider Identifier
1497989800
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME129764 Issued in FL
Practice address
240 N Wickham Rd Ste 309
Melbourne, FL 32935-8661
Phone
(321) 752-1630
Fax
(321) 690-6578
NPI assigned
May 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X MT192814 PA
Neurology Physician 2084N0400X 35123456 OH
Clinical Neurophysiology Physician 2084N0600X 35123456 OH
Neurology Physician 2084N0400X ME129764 FL Primary

Addresses

Primary practice location

240 N Wickham Rd Ste 309
Melbourne, FL 32935-8661

Mailing address

240 N Wickham Rd Ste 309
Melbourne, FL 32935-8661
Phone (321) 752-1630

Other practice location 1

240 N Wickham Rd
Ste 311
Melbourne, FL 32935-8661
Phone (330) 729-1933

Other identifiers 3

IdentifierTypeStateIssuer
0105338MedicaidOH
019512200MedicaidFL
H333510OtherOHMEDICARE PTAN

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
I20170125001788 FL Practitioner - Neurology 7315171196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ohio State University College of Medicine, 2008
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)

240 N Wickham Rd
Suite 309
Melbourne, FL 32935-8661
Phone (321) 752-1630

Hospital & facility affiliations

  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT192814PAMDNeuromusculoskeletal Medicine & OMM Physician
35123456OHMDNeurology Physician

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Steward Medical Group, Inc. CurrentSince May 1, 2017 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

240 N Wickham Rd
Ste 311
Melbourne, FL 32935
Phone (321) 308-5060

240 N Wickham Rd
Ste 309
Melbourne, FL 32935
Phone (321) 308-5084

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

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

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1497989800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD STE 309",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358661",
            "telephone_number": "321-752-1630",
            "fax_number": "321-690-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD STE 309",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358661",
            "telephone_number": "321-752-1630",
            "fax_number": "321-690-6578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 N WICKHAM RD",
            "address_2": "STE 311",
            "address_purpose": "LOCATION",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358661",
            "country_code": "US",
            "telephone_number": "330-729-1933",
            "fax_number": "330-729-1861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAI",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-13",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "PA",
            "license": "MT192814",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35123456",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "OH",
            "license": "35123456",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME129764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105338",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019512200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H333510",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.