Individual provider Active NPI

Allamm Morales, M.D.

  • Neurology Physician
  • Melbourne, FL
National Provider Identifier
1609826213
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME86321 Issued in FL
Practice address
1541 S Wickham Rd
Melbourne, FL 32904-3540
Phone
(321) 953-3589
NPI assigned
May 12, 2006
Last updated
Jan 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME86321 FL Primary

Addresses

Primary practice location

1541 S Wickham Rd
Melbourne, FL 32904-3540

Mailing address

PO Box 411175
Melbourne, FL 32941-1175
Phone (321) 953-3589

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
I20050118000147 FL Practitioner - Neurology 5395794473 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME86321FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Wellbeing LLC CurrentSince Jun 1, 2019 Accepting new patients
Florida Neurology Institute Neurology CurrentSince Jan 20, 2004 Accepting new patients
Surg Med Assistants Past Accepting new patients
Surg Med of Northshore Past Accepting new patients
Body Healing Chiropractic, LLC PastSince Oct 1, 2016 Accepting new patients

Locations

820 Palmway St
Kissimmee, FL 34744
Phone (407) 315-2867

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

11602 Lake Underhill Rd
Ste 116
Orlando, FL 32825
Phone (352) 254-0233

8751 Commodity Cir
Ste 2
Orlando, FL 32819
Phone (352) 254-0233

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHDAD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1609826213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411175",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329411175",
            "telephone_number": "321-953-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 S WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043540",
            "telephone_number": "321-953-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "ALLAMM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME86321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.