Sandor Melian, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9110860 Issued in FL

Practice address

2010 W Eau Gallie Blvd Unit 104
Melbourne, FL 32935-4033

Phone

(321) 500-4263

Fax

(888) 782-9622

NPI assigned

Jul 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blackstone Hand Center, LLCGroup PAC ID 8820312176, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: smelian71770@epicdirect.hf.org
• FHIR API: https://api.platform.athenahealth.com/14766/brand/1/csg/1/fhir/r4

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.

• Blackstone Hand Center, LLC

  • Orthopaedic Hand Surgery Physician
  • Melbourne, FL
  • NPI 1568869113
  Medicare reassignment Care Compare group
• Cora Health Services, Inc

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)
• Cora Health Services, Inc

  • Athletic Trainer
  • Lake Placid, FL
  • NPI 1831234350
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578762969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W EAU GALLIE BLVD UNIT 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354033",
            "telephone_number": "321-500-4263",
            "fax_number": "888-782-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W EAU GALLIE BLVD UNIT 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354033",
            "telephone_number": "321-500-4263",
            "fax_number": "888-782-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2082 Sarno Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329353074",
            "country_code": "US",
            "telephone_number": "321-255-2818",
            "fax_number": "321-255-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELIAN",
        "first_name": "SANDOR",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL # 999",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melbourne Urgent Care, LLC
• Melbourne Vascular & Endovascular Center PA
• Coralys Andrea Melendez Tur, PHARMD
• Jennifer Mary Melendez
• Isabela Melgaco Tavares Cruz
• Melwood Nursing Center, L.L.C.
• Ormond C Mendes, M.D.
• Symone Mendez, LMHC
• Mark J. Mendolla, MD
• Mayra I. Mendoza-Rodriguez, M.D.

• Physician Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.