Active NPI
Anoop K Palta, MD
- Hospitalist Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME98082
- Practice address
- 1350 Hickory Street
Holmes Regional Medical Center
Melbourne, FL 32901 - Phone
- (321) 434-7208
- Fax
- (321) 434-5344
- NPI assigned
- May 18, 2007
- Last updated
- Oct 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME98082 | FL | |
| Hospitalist Physician | 208M00000X | ME98082 | FL | Primary |
Addresses
Primary practice location
1350 Hickory Street
Holmes Regional Medical Center
Melbourne, FL 32901
Mailing address
P.O. Box 5720
Provider Enrollment Department
Jacksonville, FL 32247-5720
Phone (302) 651-4488
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02553 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
| ME98082 | Other | FL | FLORIDA MEDICAL DOCTOR LI |
| 278612500 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME98082 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Happy Kidz Pediatrics, PL | Past | Accepting new patients |
Locations
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000
Interoperability endpoints
- apalta33926@direct.nemours.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1649488420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5720",
"address_2": "PROVIDER ENROLLMENT DEPARTMENT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322475720",
"telephone_number": "302-651-4488",
"fax_number": "407-650-7578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HICKORY STREET",
"address_2": "HOLMES REGIONAL MEDICAL CENTER",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32901",
"telephone_number": "321-434-7208",
"fax_number": "321-434-5344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALTA",
"first_name": "ANOOP",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME98082",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME98082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "02553",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICAL DOCTOR LI",
"identifier": "ME98082",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278612500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.