Active NPI
Elvin Lephiew Dennington Jr., M.D.
- Diagnostic Radiology Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME117693
- Practice address
- 1775 W Hibiscus Blvd
Ste 215
Melbourne, FL 32901-2620 - Phone
- (321) 837-3820
- NPI assigned
- Jul 28, 2006
- Last updated
- Nov 18, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | E-4834 | AR | |
| Diagnostic Radiology Physician | 2085R0202X | ME117693 | FL | Primary |
Addresses
Primary practice location
1775 W Hibiscus Blvd
Ste 215
Melbourne, FL 32901-2620
Mailing address
1775 W Hibiscus Blvd
Ste 215
Melbourne, FL 32901-2620
Phone (321) 837-3820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161774001 | Medicaid | AR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Arkansas College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8000
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Phone (321) 799-7111
8725 N Wickham Rd
Suite 101
Melbourne, FL 32940-2240
Phone (321) 434-9240
8731 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-9000
8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-9000
Hospital & facility affiliations
- Holmes Regional Medical Center
- Cape Canaveral Hospital
- Viera Hospital
- Palm Bay Hospital
- Orlando Health Melbourne Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.79 of 100
- Quality
- 86.5
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME117693 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Brevard Physician Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Health First Medical Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Diversified Radiology of Colorado, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1220 N Highway A1A
Ste 147
Indialantic, FL 32903
Phone (321) 951-9087
730 Malabar Rd
Malabar, FL 32950
Phone (321) 409-6800
1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1775 W Hibiscus Blvd
Ste 215
Melbourne, FL 32901
Phone (321) 255-9671
255 Borman Dr
Merritt Island, FL 32953
Phone (321) 434-5820
1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000
7125 Murrell Rd
Viera, FL 32940
Phone (321) 242-8790
Interoperability endpoints
- ldennington71831@epicdirect.hf.org
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Diagnostic Radiology
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Diagnostic Radiology
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1205923596
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
dba Orlando Health Melbourne Hospital
- General Acute Care Hospital
- Melbourne, FL
- NPI 1033937883
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1518971415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 W HIBISCUS BLVD",
"address_2": "STE 215",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012620",
"telephone_number": "321-837-3820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 W HIBISCUS BLVD",
"address_2": "STE 215",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012620",
"telephone_number": "321-837-3820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNINGTON",
"first_name": "ELVIN",
"middle_name": "LEPHIEW",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "E-4834",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME117693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161774001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.