NPIMap

Individual provider Active NPI

Lyudmila Philips, MD

  • Family Medicine Physician
  • Melbourne, FL
National Provider Identifier
1811209687
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME124180 Issued in FL
Practice address
7125 Murrell Rd Ste B
Melbourne, FL 32940-7999
Phone
(321) 361-5572
Fax
(321) 434-6557
NPI assigned
Jul 9, 2010
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47985 AZ
Family Medicine Physician 207Q00000X ME124180 FL Primary

Addresses

Primary practice location

7125 Murrell Rd Ste B
Melbourne, FL 32940-7999

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810001835 FL Practitioner - Family Practice 8123262474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

1810 Eldron Blvd SE
Palm Bay, FL 32909-6831
Phone (321) 434-1981

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562

7125 Murrell Rd
Viera, FL 32940-7999
Phone (321) 242-8790

8725 N Wickham Rd
Melbourne, FL 32940-2240

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47985AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Aug 2, 2015 Accepting new patients
Health First Medical Group, LLC Family Medicine CurrentSince Aug 2, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Kingman Healthcare, Inc Family Medicine Past Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

389 Commerce Pkwy
Ste 120
Rockledge, FL 32955
Phone (321) 639-0344

7125 Murrell Rd
Ste B
Viera, FL 32940
Phone (321) 361-5589

7125 Murrell Rd
Ste F
Viera, FL 32940
Phone (321) 434-6555

Interoperability endpoints

  • Direct secure messaging: lphilips26428@epicdirect.hf.org

Organizations & group practices 4

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 6

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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1811209687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 MURRELL RD STE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407999",
            "telephone_number": "321-361-5572",
            "fax_number": "321-434-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPS",
        "first_name": "LYUDMILA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "47985",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME124180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.