Individual provider Active NPI

Patrick Michael Mella, MD

  • Internal Medicine Physician
  • St. Petersburg, FL
National Provider Identifier
1982915781
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME121444 Issued in FL
Practice address
1839 Central Ave
St. Petersburg, FL 33713-8900
Phone
(727) 322-1054
Fax
(727) 821-7213
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 ME121444 FL Primary

Addresses

Primary practice location

1839 Central Ave
St. Petersburg, FL 33713-8900

Mailing address

1839 Central Ave
St. Petersburg, FL 33713-8900
Phone (727) 322-1054

Other identifiers 2

IdentifierTypeStateIssuer
013680600MedicaidFL
14YW5OtherFLBCBC

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
I20141230001547 FL Practitioner - Internal MedicinePractitioner - Hospitalist 7113240045 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Health Care of Pinellas, LLCGroup PAC ID 1658274675, 88 clinicians

Practice addresses (Care Compare)

1839 Central Ave
St Petersburg, FL 33713-9089
Phone (727) 322-1054

Hospital & facility affiliations

  • Suncoast Hospice Hospice, Palm Harbor, FL, CCN 101508
  • Alpine Health and Rehabilitation Center Nursing home, Saint Petersburg, FL, CCN 105713
  • Concordia Manor Nursing home, Saint Petersburg, FL, CCN 105714
  • South Heritage Health & Rehabilitation Center Nursing home, Saint Petersburg, FL, CCN 105117
  • Bayside Care Center Nursing home, Saint Petersburg, FL, CCN 105071
  • Kensington Gardens Rehab and Nursing Center Nursing home, Clearwater, FL, CCN 105453

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121444FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
Comprehensive Hospital Physicians of Florida Inc Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Nov 23, 2022 Accepting new patients
Professional Health Care of Pinellas LLC Internal Medicine CurrentSince Nov 23, 2022 Accepting new patients
Pioneer Medical Group, PL Internal Medicine CurrentSince Nov 4, 2014 Accepting new patients

Locations

6020 Indiana Ave
New Prt Rchy, FL 34653
Phone (352) 860-0200

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

7101 Mlk Jr St N
St Petersburg, FL 33702
Phone (727) 527-7231

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

515 Chesapeake Dr
Tarpon Springs, FL 34689
Phone (727) 934-4629

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982915781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLA",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME121444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013680600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC",
            "identifier": "14YW5",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Petersburg, FL

Sources for this page

Verify at the official NPI Registry.