Organization Active NPI

Suntree Internal Medicine, LLC.

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1700947884
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUNTREE INTERNAL MEDICINE, LLC.
Practice address
6619 N Wickham Rd
Melbourne, FL 32940-2006
Phone
(321) 259-9500
Fax
(321) 253-1777
NPI assigned
Dec 13, 2006
Last updated
Jul 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Abe Hardoon, MD
Title
Director MD
Phone
(321) 259-9500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X

Addresses

Primary practice location

6619 N Wickham Rd
Melbourne, FL 32940-2006

Mailing address

6619 N Wickham Rd
Melbourne, FL 32940-2006
Phone (321) 259-9500

Other practice location 1

6525 3rd St Ste 106
Rockledge, FL 32955-5751
Phone (321) 259-9500

Other practice location 2

6156 Breslay Dr Ste 101
Viera, FL 32940-8727
Phone (321) 259-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040913001133 FL Part B Supplier - Clinic/Group Practice 1951378694 Receives reassigned benefits from 76 practitioners
Practice locations: Melbourne, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1003309Suntree Internal Medicine6619 N Wickham Rd, Melbourne, FL 32940Certificate of waiverAug 26, 2026
10D2334859Suntree Internal Medicine LLC6156 Breslay Drive, Melbourne, FL 32940Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory

Locations

6156 Breslay Dr
Melbourne, FL 32940
Phone (321) 259-9500

6619 N Wickham Rd
Melbourne, FL 32940
Phone (321) 259-9500

903 Jordan Blass Dr
Ste 102
Melbourne, FL 32940
Phone (321) 259-9500

Practitioners & affiliated clinicians

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1700947884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402006",
            "telephone_number": "321-259-9500",
            "fax_number": "321-253-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6619 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402006",
            "telephone_number": "321-259-9500",
            "fax_number": "321-253-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6525 3rd St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329555751",
            "country_code": "US",
            "telephone_number": "321-259-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6156 Breslay Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Viera",
            "state": "FL",
            "postal_code": "329408727",
            "country_code": "US",
            "telephone_number": "321-259-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNTREE INTERNAL MEDICINE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "HARDOON",
        "authorized_official_first_name": "ABE",
        "authorized_official_title_or_position": "DIRECTOR MD",
        "authorized_official_telephone_number": "321-259-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.