Individual provider Active NPI

Marissa Rocourt, M.D

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1689758690
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME81535 Issued in FL
Practice address
1735 W Hibiscus Blvd Ste 201
Melbourne, FL 32901
Phone
(321) 259-5999
Fax
(321) 259-5553
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME81535 FL Primary

Addresses

Primary practice location

1735 W Hibiscus Blvd Ste 201
Melbourne, FL 32901

Mailing address

1735 W Hibiscus Blvd Ste 201
Melbourne, FL 32901-2608
Phone (321) 259-5999

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
I20100511000244 FL Practitioner - Internal Medicine 2163559154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

1735 W Hibiscus Blvd
Suite 201
Melbourne, FL 32901-2608
Phone (321) 259-5999

2225 S Babcock St
Suite 110
Melbourne, FL 32901-5305
Phone (321) 425-4321

4270 Minton Rd
Suite 120
West Melbourne, FL 32904-9579
Phone (321) 984-2933

Hospital & facility affiliations

  • Nayar Health Care Melbourne LLC Home health agency, Titusville, FL, CCN 687309
  • Health First Home Care Home health agency, Melbourne, FL, CCN 107233
  • Concierge Home Care Home health agency, Melbourne, FL, CCN 687040
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81535FLMDInternal Medicine Physician

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

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

Organizations & group practices 1

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1689758690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 W HIBISCUS BLVD STE 201",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012608",
            "telephone_number": "321-259-5999",
            "fax_number": "321-259-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 W HIBISCUS BLVD STE 201",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-259-5999",
            "fax_number": "321-259-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCOURT",
        "first_name": "MARISSA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.