Individual provider Active NPI

Andre De Souza E Melo, M.D.

  • Internal Medicine Physician
  • Lakewood Ranch, FL
National Provider Identifier
1720430788
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME162083 Issued in FL
Practice address
8131 Lakewood Main St Ste 205
Lakewood Ranch, FL 34202-5060
Phone
(941) 359-9546
Fax
(941) 344-0621
NPI assigned
Jul 1, 2016
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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 ME162083 FL Primary

Addresses

Primary practice location

8131 Lakewood Main St Ste 205
Lakewood Ranch, FL 34202-5060

Mailing address

8131 Lakewood Main St Ste 205
Lakewood Ranch, FL 34202-5060
Phone (941) 359-9546

Other practice location 1

8130 Lakewood main street 103, 401
Lakewood Ranch, FL 34202
Phone (941) 504-1652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190905000250 NM Practitioner - Internal Medicine 1850686106 Reassigns benefits to 1 organization
I20230622001403 FL Practitioner - Internal Medicine 1850686106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Professional Health Care of Pinellas, LLCGroup PAC ID 1658274675, 88 clinicians

Practice addresses (Care Compare)

11661 State Rd 70
Lakewood Ranch, FL 34202-9416
Phone (941) 222-0321

1839 Central Ave
St Petersburg, FL 33713-9089
Phone (727) 322-1054

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Way Concierge Medicine LLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 1, 2023 Accepting new patients
Viajourney Telehealth LLC Internal Medicine CurrentSince Nov 30, 2025 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Aug 1, 2025 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 1, 2023 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients
Professional Health Care of Pinellas LLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

1505 53rd Ave E
Bradenton, FL 34203
Phone (941) 357-7950

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

8130 Lakewood Main St
#103401
Lakewood Ranch, FL 34202
Phone (941) 359-9546

8131 Lakewood Main St
Ste 205
Lakewood Ranch, FL 34202
Phone (860) 970-1303

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

Interoperability endpoints

  • Direct secure messaging: andre.desouzaemelo@1010662905282564.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1720430788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 LAKEWOOD MAIN ST STE 205",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025060",
            "telephone_number": "941-359-9546",
            "fax_number": "941-344-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 LAKEWOOD MAIN ST STE 205",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025060",
            "telephone_number": "941-359-9546",
            "fax_number": "941-344-0621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8130 Lakewood main street 103, 401",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "34202",
            "country_code": "US",
            "telephone_number": "941-504-1652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE SOUZA E MELO",
        "first_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-01",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME162083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.