Individual provider Active NPI

Leonid Melnitsky, D.O.

  • Emergency Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1922189653
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS9751 Issued in FL
Practice address
703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone
(954) 844-9000
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS9751 FL Primary

Addresses

Primary practice location

703 N Flamingo Rd
Pembroke Pines, FL 33028-1006

Mailing address

2551 SW 58TH MNR
Fort Lauderdale, FL 33312-6513
Phone (954) 494-5687

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lmelnitsky13461@mhsdirect.net TeamHealth Emergency Medicine Southeast Group
Direct Messaging Address lmelnitsky13461@mhsdirect.net

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
I20080825000613 FL Practitioner - Emergency Medicine 9537234620 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9751FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet South Broward LLC Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Feb 3, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida Emergency Medicine Past Accepting new patients

Locations

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Interoperability endpoints

  • Direct secure messaging: lmelnitsky13461@mhsdirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1922189653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 SW 58TH MNR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126513",
            "telephone_number": "954-494-5687",
            "fax_number": "954-494-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N FLAMINGO RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281006",
            "telephone_number": "954-844-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNITSKY",
        "first_name": "LEONID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS9751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmelnitsky13461@mhsdirect.net",
            "affiliation": "Y",
            "affiliationName": "TeamHealth Emergency Medicine Southeast Group",
            "address_1": "400 Taylor Rd",
            "address_2": "Suite 3380",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361173512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmelnitsky13461@mhsdirect.net",
            "affiliation": "N",
            "address_1": "703 N Flamingo Rd",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330281006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.