Individual provider Active NPI

Melanie Hecker, MD

  • Dermatology Physician
  • Pompano Beach, FL
National Provider Identifier
1639288632
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME79381 Issued in FL
Practice address
3500 NE 5TH Ave
Pompano Beach, FL 33064-4445
Phone
(954) 783-2323
Fax
(954) 783-2321
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME79381 FL Primary

Addresses

Primary practice location

3500 NE 5TH Ave
Pompano Beach, FL 33064-4445

Mailing address

3500 NE 5TH Ave
Pompano Beach, FL 33064-4445
Phone (954) 783-2323

Other identifiers 1

IdentifierTypeStateIssuer
49576UOtherFLPTAN

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
I20050613000826 FL Practitioner - Dermatology 6709827835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Hecker Dermatology Group P.a.Group PAC ID 4082655113, 2 clinicians

Practice addresses (Care Compare)

3500 NE 5TH Ave
Pompano Beach, FL 33064-4445
Phone (954) 783-2323

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions78
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hecker Dermatology Group P.a. CurrentSince Oct 6, 2000 Accepting new patients
Integrated Dermatology of Pompano Beach LLC Dermatology PastSince May 1, 2008 Accepting new patients

Locations

3500 NE 5th Ave
Pompano Beach, FL 33064
Phone (954) 781-2969

7710 NW 71st Ct
Ste 203
Tamarac, FL 33321
Phone (954) 721-3008

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1639288632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 NE 5TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644445",
            "telephone_number": "954-783-2323",
            "fax_number": "954-783-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NE 5TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644445",
            "telephone_number": "954-783-2323",
            "fax_number": "954-783-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKER",
        "first_name": "MELANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME79381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "49576U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.