Individual provider Active NPI

Esmat Asham Gayed, MD

  • Family Medicine Physician
  • Melbourne, FL
National Provider Identifier
1811007651
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0069868 Issued in FL
Practice address
3021 W Eau Gallie Blvd
Suite 101
Melbourne, FL 32934-7005
Phone
(321) 255-0959
Fax
(321) 255-0225
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0069868 FL Primary

Addresses

Primary practice location

3021 W Eau Gallie Blvd
Suite 101
Melbourne, FL 32934-7005

Mailing address

3021 W Eau Gallie Blvd
Suite 101
Melbourne, FL 32934-7005
Phone (321) 255-0959

Other identifiers 1

IdentifierTypeStateIssuer
250738200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100407000065 FL Practitioner - Family Practice 6800946807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Brevard LLCGroup PAC ID 4486558012, 75 clinicians

Practice addresses (Care Compare)

3021 W Eau Gallie Blvd
Suite 101
Melbourne, FL 32934-7005
Phone (321) 255-0959

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0069868FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Brevard LLC CurrentSince Oct 1, 1998 Accepting new patients

Locations

2200 W Eau Gallie Blvd
Ste 202C
Melbourne, FL 32935
Phone (321) 728-2722

402 N Babcock St
Ste 102
Melbourne, FL 32935
Phone (321) 241-6540

3021 W Eau Gallie Blvd
Ste 101
Melbourne, FL 32934
Phone (321) 255-0959

1600 W Eau Gallie Blvd
Ste 104
Melbourne, FL 32935
Phone (321) 255-0959

1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500

Interoperability endpoints

  • Direct secure messaging: esmatgayed@mab.medentdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1811007651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 W EAU GALLIE BLVD",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347005",
            "telephone_number": "321-255-0959",
            "fax_number": "321-255-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 W EAU GALLIE BLVD",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347005",
            "telephone_number": "321-255-0959",
            "fax_number": "321-255-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYED",
        "first_name": "ESMAT",
        "middle_name": "ASHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0069868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250738200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.