Individual provider Active NPI

Melinda Amelia Anamdi, PA-C

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1710122817
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117549 Issued in FL
Practice address
5105 N Armenia Ave
Tampa, FL 33603-1405
Phone
(813) 879-8045
Fax
(813) 876-6504
NPI assigned
Dec 4, 2008
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117549 FL Primary
Medical Physician Assistant 363AM0700X 013030 NY

Addresses

Primary practice location

5105 N Armenia Ave
Tampa, FL 33603-1405

Mailing address

5105 N Armenia Ave
Tampa, FL 33603-1405
Phone (813) 879-8045

Other practice location 1

3006 W Azeele St
Tampa, FL 33609-3139
Phone (813) 879-8045

Other names 1

  • Miss Melinda Amelia Santiago Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100810000377 NY Practitioner - Physician Assistant 4284768482 Reassigns benefits to 1 organization
I20230921001826 FL Practitioner - Physician Assistant 4284768482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

1303 Mosley Dr
Lynn Haven, FL 32444-5625
Phone (850) 784-7722

3000 Medical Park Dr
Suite 200
Tampa, FL 33613-4695
Phone (813) 879-8045

3006 W Azeele St
Tampa, FL 33609-3139
Phone (813) 879-8045

5105 N Armenia Ave
Tampa, FL 33603-1405
Phone (813) 879-8045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
013030NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Mar 23, 2021 Accepting new patients
Allied Physicians Group, PLLC PastSince Apr 7, 2025 Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

875 Old Country Rd
Fl 2
Plainview, NY 11803
Phone (516) 470-8916

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: melindaanamdi@nslijmedgr.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1710122817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031405",
            "telephone_number": "813-879-8045",
            "fax_number": "813-876-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031405",
            "telephone_number": "813-879-8045",
            "fax_number": "813-876-6504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3006 W Azeele St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336093139",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "fax_number": "813-450-2461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANAMDI",
        "first_name": "MELINDA",
        "middle_name": "AMELIA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117549",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "013030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "SANTIAGO",
            "middle_name": "AMELIA",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.