Individual provider Active NPI

Diana I Skirk, M.D.

  • Neurology Physician
  • Melbourne, FL
National Provider Identifier
1841248887
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME0089447 Issued in FL
Practice address
2571W Eau Gallie Blvd
Suite 4
Melbourne, FL 32935-8302
Phone
(321) 757-7776
Fax
(321) 757-7343
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME0089447 FL Primary

Addresses

Primary practice location

2571W Eau Gallie Blvd
Suite 4
Melbourne, FL 32935-8302

Mailing address

240 N Wickham Rd
Suite 110
Melbourne, FL 32935-8662
Phone (321) 757-7776

Other identifiers 1

IdentifierTypeStateIssuer
270169300MedicaidFL

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
I20040930000543 FL Practitioner - Neurology 3173592003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2571 W Eau Gallie Blvd
Suite 4
Melbourne, FL 32935-8302
Phone (321) 757-7776

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0089447FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Shore Neurology PA CurrentSince May 5, 2004 Accepting new patients
Internal Medicine and Geriatrics Associates, P.a. PastSince Aug 1, 2004 Accepting new patients

Locations

240 N Wickham Rd
Ste 110
Melbourne, FL 32935
Phone (321) 541-1714

2571 W Eau Gallie Blvd
Ste 4
Melbourne, FL 32935
Phone (321) 757-7541

Networks

  • Freedom Health HMO Network

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 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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841248887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD",
            "address_2": "SUITE 110",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358662",
            "telephone_number": "321-757-7776",
            "fax_number": "321-757-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571W EAU GALLIE BLVD",
            "address_2": "SUITE 4",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358302",
            "telephone_number": "321-757-7776",
            "fax_number": "321-757-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIRK",
        "first_name": "DIANA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0089447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270169300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.