Individual provider Active NPI

Nikolay Davis, MD

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1891373254
Registry record updated Dec 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME167945 Issued in FL
Practice address
240 N Wickham Rd
Melbourne, FL 32935-8662
Phone
(321) 752-1588
Fax
(321) 752-1594
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME167945 FL Primary

Addresses

Primary practice location

240 N Wickham Rd
Melbourne, FL 32935-8662

Mailing address

101 Station Dr Ste 200
Westwood, MA 02090-2392
Phone (781) 691-3386

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
I20240905002430 FL Practitioner - Internal Medicine 5395285340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RHG of Florida PAGroup PAC ID 7416479761, 22 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

240 N Wickham Rd
300 Melbourne Internal Medicine
Melbourne, FL 32935-8661
Phone (321) 752-1588

Hospital & facility affiliations

  • Health First Home Care Home health agency, Melbourne, FL, CCN 107233
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME167945FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Sep 1, 2024 Accepting new patients
RHG of Florida PA CurrentSince Jan 16, 2025 Accepting new patients
Steward Medical Group, Inc. Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Stewart and Stewart a Medical Corporation Internal Medicine Past Accepting new patients

Locations

240 N Wickham Rd
Ste 304
Melbourne, FL 32935
Phone (321) 308-5050

240 N Wickham Rd
Ste 300
Melbourne, FL 32935
Phone (321) 308-5050

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

101 Station Dr
Ste 200
Westwood, MA 02090
Phone (781) 691-4122

Interoperability endpoints

  • Direct secure messaging: nikolay.davis.1@15594.direct.athenahealth.com

Organizations & group practices 5

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 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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766880000000",
    "number": "1891373254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STATION DR STE 200",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902392",
            "telephone_number": "781-691-3386",
            "fax_number": "844-310-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358662",
            "telephone_number": "321-752-1588",
            "fax_number": "321-752-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NIKOLAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME167945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.