Active NPI
Disha Trivedi, MD
- Nephrology Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME117749
- Practice address
- 111 E Hibiscus Blvd
Melbourne, FL 32901-3102 - Phone
- (321) 768-3655
- Fax
- (321) 831-3024
- NPI assigned
- Mar 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME117749 | FL | Primary |
Addresses
Primary practice location
111 E Hibiscus Blvd
Melbourne, FL 32901-3102
Mailing address
111 E Hibiscus Blvd
Melbourne, FL 32901-3102
Phone (321) 768-3655
Other practice location 1
450 Malabar Rd SE Unit 102
Palm Bay, FL 32907-3111
Phone (321) 768-3655
Other practice location 2
14 Suntree Pl Ste 104
Melbourne, FL 32940-7605
Phone (321) 768-3655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105543800 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 E Hibiscus Blvd
Melbourne, FL 32901-3102
Phone (321) 768-3655
Hospital & facility affiliations
- Renal Care Group - Brevard
- FMC - Palm Bay
- FMC - Brevard Home Therapies
- Holmes Regional Medical Center
- Palm Bay Hospital
- Orlando Health Melbourne Hospital
- Viera Hospital
- Cape Canaveral Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 93.28
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME117749 | FL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Kidney Physicians , LLC | Nephrology | Current | Accepting new patients |
| Florida Kidney Physicians, LLC | Nephrology | Current | Accepting new patients |
Locations
850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281
1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173
111 E Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 725-8919
14 Suntree Pl
Ste 104
Melbourne, FL 32940
Phone (321) 768-3655
19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558
450 Malabar Rd SE
Unit 102
Palm Bay, FL 32907
Phone (321) 435-3655
450 Malabar Rd SE
Palm Bay, FL 32907
Phone (321) 752-3888
3221 Tamiami Trl
Pt Charlotte, FL 33952
12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
- disha.trivedi.1@15644.direct.athenahealth.com
- dtrivedi71555@epicdirect.hf.org
Organizations & group practices 2
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.
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
-
- Nephrology Physician
- Melbourne, FL
- NPI 1205506722
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care of Palm Bay
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Palm Bay, FL
- NPI 1629480165
Dialysis facility
-
dba Fresenius Medical Care Brevard Home Therapies
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Melbourne, FL
- NPI 1821380593
Dialysis facility
-
dba Renal Care Group Brevard
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Melbourne, FL
- NPI 1891807640
Dialysis facility
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
dba Orlando Health Melbourne Hospital
- General Acute Care Hospital
- Melbourne, FL
- NPI 1033937883
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1750522264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E HIBISCUS BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013102",
"telephone_number": "321-768-3655",
"fax_number": "321-831-3024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E HIBISCUS BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013102",
"telephone_number": "321-768-3655",
"fax_number": "321-831-3024"
}
],
"practiceLocations": [
{
"address_1": "450 Malabar Rd SE Unit 102",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329073111",
"country_code": "US",
"telephone_number": "321-768-3655",
"fax_number": "321-831-3024",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14 Suntree Pl Ste 104",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329407605",
"country_code": "US",
"telephone_number": "321-768-3655",
"fax_number": "321-831-3024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIVEDI",
"first_name": "DISHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-12",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME117749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105543800",
"state": "FL"
}
],
"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 Nov 22, 2022; 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.