Individual provider Active NPI

Melanie Melendez Garcia, M.D.

  • Emergency Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1861707457
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME-119966 Issued in FL
Practice address
1213 N Central Ave
Kissimmee, FL 34741-4407
Phone
(407) 483-4795
Fax
(863) 250-1174
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20857 PR
Student in an Organized Health Care Education/Training Program 390200000X 12,636 - I PR
Emergency Medicine Physician 207P00000X ME-119966 FL Primary

Addresses

Primary practice location

1213 N Central Ave
Kissimmee, FL 34741-4407

Mailing address

13920 Landstar Blvd # 45
Orlando, FL 32824-5524
Phone (863) 800-5323

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
I20140716001952 FL Practitioner - Emergency Medicine 2466678073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Small Hospital Innovations LLCGroup PAC ID 0840415444, 95 clinicians

Practice addresses (Care Compare)

900 N Robert Ave
Arcadia, FL 34266-8712
Phone (863) 494-3535

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-119966FLMDEmergency Medicine Physician
20857PRMDEmergency Medicine Physician
12,636 - IPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
MG Medicine, LLC. Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
MMG Emergency Physicians Inc Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

209 S Clyde Ave
Kissimmee, FL 34741
Phone (407) 483-4795

1213 N Central Ave
Kissimmee, FL 34741
Phone (407) 483-4795

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

13920 Landstar Blvd
Orlando, FL 32824
Phone (407) 321-0699

Organizations & group practices 3

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 1

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": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1861707457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13920 LANDSTAR BLVD # 45",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328245524",
            "telephone_number": "863-800-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414407",
            "telephone_number": "407-483-4795",
            "fax_number": "863-250-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ GARCIA",
        "first_name": "MELANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "20857",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "12,636 - I",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME-119966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.