Individual provider Active NPI

Mark F Pinsky, DO

  • Family Medicine Physician
  • Melbourne, FL
National Provider Identifier
1861485195
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS6808 Issued in FL
Practice address
8045 Spyglass Hill Rd
Suite 101
Melbourne, FL 32940-8567
Phone
(321) 255-2289
Fax
(321) 241-6583
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 OS6808 FL Primary

Addresses

Primary practice location

8045 Spyglass Hill Rd
Suite 101
Melbourne, FL 32940-8567

Mailing address

8045 Spyglass Hill Rd
Suite 101
Melbourne, FL 32940-8567
Phone (321) 255-2289

Other identifiers 1

IdentifierTypeStateIssuer
OS6808OtherFLFLORIDA OSTEOPATHIC LICEN

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
I20100929001554 FL Practitioner - Family Practice 7810047818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University Medical College of Kansas City, 1991
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)

8045 Spyglass Hill Rd
Suite 101
Melbourne, FL 32940-8567
Phone (321) 255-2289

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Brevard LLC CurrentSince Jan 1, 2003 Accepting new patients

Locations

2290 W Eau Gallie Blvd
Ste 205
Melbourne, FL 32935
Phone (321) 435-0070

7640 N Wickham Rd
Ste 118
Melbourne, FL 32940
Phone (321) 255-4003

8045 Spyglass Hill Rd
Ste 104
Melbourne, FL 32940
Phone (321) 255-4003

8045 Spyglass Hill Rd
Ste 101
Melbourne, FL 32940
Phone (321) 242-4515

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

Interoperability endpoints

  • Direct secure messaging: mark.pinsky.1@17163.direct.athenahealth.com
  • Direct secure messaging: markpinsky@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 4

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1861485195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 SPYGLASS HILL RD",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408567",
            "telephone_number": "321-255-2289",
            "fax_number": "321-241-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 SPYGLASS HILL RD",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408567",
            "telephone_number": "321-255-2289",
            "fax_number": "321-241-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSKY",
        "first_name": "MARK",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA OSTEOPATHIC LICEN",
            "identifier": "OS6808",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.