NPIMap

Individual provider Active NPI

Gary Joseph Hardoon, M.D.

  • Internal Medicine Physician
  • Palm Bay, FL
National Provider Identifier
1558637686
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME122790 Issued in FL
Practice address
1810 Eldron Blvd SE
Palm Bay, FL 32909-6831
Phone
(321) 312-3466
Fax
(321) 409-6811
NPI assigned
Mar 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME122790 FL Primary

Addresses

Primary practice location

1810 Eldron Blvd SE
Palm Bay, FL 32909-6831

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 312-3466

Other identifiers 1

IdentifierTypeStateIssuer
PU936OtherFLMEDICARE HF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901001119 FL Practitioner - Internal Medicine 7911142997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1810 Eldron Blvd SE
Palm Bay, FL 32909-6831
Phone (321) 434-1981

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as apm
Quality
86.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Nov 14, 2022 Accepting new patients
Suntree Endocrinology Internal Medicine Current Accepting new patients
Health First Medical Group, LLC Internal Medicine CurrentSince Nov 14, 2022 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

6619 N Wickham Rd
Melbourne, FL 32940
Phone (321) 259-9500

1810 Eldron Blvd SE
Palm Bay, FL 32909
Phone (321) 312-3466

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

1846 Highway 1
Ste A
Rockledge, FL 32955
Phone (321) 361-5597

Interoperability endpoints

  • Direct secure messaging: gary@suntreeinternalmedicine.direct.emds.com
  • Direct secure messaging: ghardoon23918@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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1558637686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-312-3466",
            "fax_number": "321-409-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 ELDRON BLVD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096831",
            "telephone_number": "321-312-3466",
            "fax_number": "321-409-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDOON",
        "first_name": "GARY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME122790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "PU936",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.