Active NPI
Melody O. King, M.D.
- Hospitalist Physician
- Melbourne, FL
National Provider Identifier
1881604726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME110293
- Practice address
- 8745 N Wickham Rd
Melbourne, FL 32940-5997 - Phone
- (321) 434-9358
- Fax
- (321) 434-9521
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2008-01911 | NC | |
| Hospitalist Physician | 208M00000X | ME110293 | FL | Primary |
Addresses
Primary practice location
8745 N Wickham Rd
Melbourne, FL 32940-5997
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-9358
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003693100 | Medicaid | FL | |
| 14E6C | Other | FL | FLORIDA BLUE |
| FC018Y | Other | FL | MEDICARE |
| 9877194 | Other | AETNA PROVIDER # | |
| P01275461 | Other | FL | RRMR |
Other names 1
- Melody K. Orr
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250211000089 | FL | Order and Referring Only - Internal Medicine | 3274604202 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-01911 | NC | MD | Internal Medicine Physician |
| ME110293 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Heart and Lung Institute PLC | Past | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients | |
| Clarksville Physician Services, LLC | Past | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Internal Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Dover, TN
- NPI 1992077077
-
- Internal Medicine Physician
- Pinehurst, NC
- NPI 1255388369
-
- Clinical Medical Laboratory
- Southern Pines, NC
- NPI 1962509372
-
- Specialist
- Clarksville, TN
- NPI 1699802371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1881604726",
"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",
"telephone_number": "321-434-9358",
"fax_number": "321-434-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8745 N WICKHAM RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329405997",
"telephone_number": "321-434-9358",
"fax_number": "321-434-9521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MELODY",
"middle_name": "O.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2008-01911",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME110293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003693100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "14E6C",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "FC018Y",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "9877194",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMR",
"identifier": "P01275461",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELODY",
"last_name": "ORR",
"middle_name": "K.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.