Organization Active NPI

James M Melotek MD PA

Doing business as Saint Lucie Radiation Oncology

  • Radiation Oncology Physician
  • Port St Lucie, FL
National Provider Identifier
1942779483
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
JAMES M MELOTEK MD PA
Doing business as
Saint Lucie Radiation Oncology
Practice address
8980 S US Highway 1 Ste 105
Port St Lucie, FL 34952-3482
Phone
(772) 281-3060
Fax
(772) 281-3055
NPI assigned
Nov 14, 2018
Last updated
Nov 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Dr. James Michael Melotek, M.D.NPI 1255696696
Title
Owner
Phone
(772) 281-3060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

8980 S US Highway 1 Ste 105
Port St Lucie, FL 34952-3482

Mailing address

8980 S US Highway 1 Ste 105
Port St Lucie, FL 34952-3482
Phone (772) 281-3060

Other names 1

  • SAINT LUCIE RADIATION ONCOLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190131000342 FL Part B Supplier - Clinic/Group Practice 5991042889 Receives reassigned benefits from 4 practitioners
Practice locations: Fort Pierce, FL; Jupiter, FL; Port St Lucie, FL

National Provider Directory

National Provider Directory

Locations

1231 N Lawnwood Cir
Ste B
Fort Pierce, FL 34950
Phone (772) 271-4830

1094 Military Trl
Fl 1
Jupiter, FL 33458
Phone (561) 295-3355

8980 S US Highway 1
Ste 105
Port St Lucie, FL 34952
Phone (772) 281-3060

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1942779483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8980 S US HIGHWAY 1 STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523482",
            "telephone_number": "772-281-3060",
            "fax_number": "772-281-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8980 S US HIGHWAY 1 STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523482",
            "telephone_number": "772-281-3060",
            "fax_number": "772-281-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M MELOTEK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "MELOTEK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-281-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAINT LUCIE RADIATION ONCOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.