Individual provider Active NPI

Thomas Karl Velleff Jr., M. D.

  • Pain Medicine Physician
  • Melbourne, FL
National Provider Identifier
1558388454
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME42998 Issued in FL
Practice address
3150 N Wickham Rd
Suite 9
Melbourne, FL 32935-2322
Phone
(321) 241-6441
Fax
(321) 241-6443
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) Physician 207QB0002X ME42998 FL
General Practice Physician 208D00000X ME42998 FL
Pain Medicine Physician 208VP0000X ME42998 FL Primary

Addresses

Primary practice location

3150 N Wickham Rd
Suite 9
Melbourne, FL 32935-2322

Mailing address

3150 N Wickham Rd
Suite 9
Melbourne, FL 32935-2322
Phone (321) 241-6441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME42998FLMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Axiom Medical Clinic LLC Past Accepting new patients
Memorial Hospital-West Volusia Inc Past Accepting new patients
Southwest Volusia Healthcare Corporation Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1558388454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N WICKHAM RD",
            "address_2": "SUITE 9",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352322",
            "telephone_number": "321-241-6441",
            "fax_number": "321-241-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N WICKHAM RD",
            "address_2": "SUITE 9",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352322",
            "telephone_number": "321-241-6441",
            "fax_number": "321-241-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLEFF",
        "first_name": "THOMAS",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "FL",
            "license": "ME42998",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME42998",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME42998",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.