Gabor Menczelesz, MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

ME122201 Issued in FL

Practice address

3574 US Highway 1 S Ste 102
Saint Augustine, FL 32086-6467

Phone

(904) 217-7161

Fax

(904) 217-4075

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Island Doctors Intrastate LLC

  • Primary Care Clinic/Center
  • Saint Augustine, FL
  • NPI 1568083889

  FL

  Medicare reassignment Care Compare group NPD
• Bethsaida Healthcare System Inc

  • Adult Medicine Physician
  • Wildwood, FL
  • NPI 1003385055

  FL

  Medicare reassignment NPD
• Noble Infusion, LLC

  • Infusion Therapy Clinic/Center
  • Ormond Beach, FL
  • NPI 1346089513

  FL, Internal Medicine

  Medicare reassignment NPD
• Roy H Hinman MD PA

  • Family Medicine Physician
  • St Augustine, FL
  • NPI 1649383845

  Family Medicine, FL

  Medicare reassignment NPD
• Sinai Internal Medicine Specialists

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1639474364

  FL, Internal Medicine

  Medicare reassignment NPD
• Parkville Medical PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1982889648
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1609869833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 PEELE ST",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320334015",
            "telephone_number": "904-302-1558",
            "fax_number": "904-562-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3574 US HIGHWAY 1 S STE 102",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320866467",
            "telephone_number": "904-217-7161",
            "fax_number": "904-217-4075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "258 3rd St",
            "address_purpose": "LOCATION",
            "city": "Neptune Beach",
            "state": "FL",
            "postal_code": "322665130",
            "country_code": "US",
            "telephone_number": "904-575-2285",
            "fax_number": "904-562-3343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1437 Flagler Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078516",
            "country_code": "US",
            "telephone_number": "904-302-1558",
            "fax_number": "904-562-3343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENCZELESZ",
        "first_name": "GABOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME122201",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME122201",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210461",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME122201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliana Maria Melendez, D.C.
• Melissa Muller
• Melissa Joy Melton
• Memorial Healthcare Group Inc
• Memorial Hospital Flagler Inc
• Milton T. Mendenhall, M.D.
• Pamela Mendoza Torres, EDS
• Joseph Mercier
• Sorrell Mercoglan, LCSW
• Merriman Pelvic Health

• Addiction Medicine (Internal Medicine) Physician in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Addiction Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.