Carmen E. Morales, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME54747 Issued in FL

Practice address

5005 Port St John Pkwy Ste 2500
Port St John, FL 32927-4305

Phone

(321) 504-0556

Fax

(321) 504-0773

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Vital View LLCGroup PAC ID 8921434697, 4 clinicians

Complete Care LLCGroup PAC ID 8123326113, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: carmen.morales.1@23154.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23154/brand/1/csg/1/fhir/r4

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.

• Complete Care LLC

  • Primary Care Clinic/Center
  • Merritt Island, FL
  • NPI 1801252457

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• My Vital View, LLC

  • Multi-Specialty Clinic/Center
  • Indian Harbour Beach, FL
  • NPI 1528602794
  Medicare reassignment Care Compare group NPD
• Western Communities Family Practice Assoc Inc

  • Family Medicine Physician
  • Wellington, FL
  • NPI 1043271596
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1740290246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HARRISON STREET",
            "address_2": "PHN OFFICE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32780",
            "telephone_number": "321-504-0556",
            "fax_number": "321-504-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 PORT ST JOHN PKWY STE 2500",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329274305",
            "telephone_number": "321-504-0556",
            "fax_number": "321-504-0773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327805094",
            "country_code": "US",
            "telephone_number": "321-633-8691",
            "fax_number": "321-267-2713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "CARMEN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME54747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000620700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nagamani Kurusanganapalli, M.D
• Katherine Penny Leonard, ARNP
• Eric Luzar, PHARMD
• Medfast Urgent Care Centers, LLC
• Shivani Mitra, MD
• Matthew Anthony Musto, DO
• Myeyedr Optometry of Florida, LLC
• William J. Near, M.D.
• Benjamin Reed Nettleton, D.O.
• Hiram Nieves Sr.

• Internal Medicine Physician in Port St John, FL
• Providers in Port St John, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.
• 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.