Organization Active NPI

Star Internal Medicine and Associates Inc

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1992247894
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME124494 Issued in ND
Legal business name
STAR INTERNAL MEDICINE AND ASSOCIATES INC
Practice address
8045 Spyglass Hill Rd Ste 105
Melbourne, FL 32940-8567
Phone
(321) 610-4960
Fax
(321) 610-4362
NPI assigned
Nov 8, 2016
Last updated
Feb 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Daniel Curtis Starr, MDNPI 1669624912
Title
Owner
Phone
(714) 742-4484

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
Internal Medicine Physician 207R00000X ME124494 ND Primary

Addresses

Primary practice location

8045 Spyglass Hill Rd Ste 105
Melbourne, FL 32940-8567

Mailing address

8045 Spyglass Hill Rd Ste 105
Melbourne, FL 32940-8567
Phone (321) 610-4960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170320000394 FL Part B Supplier - Clinic/Group Practice 4880979640 Receives reassigned benefits from 4 practitioners
Practice locations: Viera, FL

National Provider Directory

National Provider Directory

Locations

8247 Devereux Dr
Ste 102
Viera, FL 32940
Phone (321) 610-4960

Practitioners & affiliated clinicians

Practitioners 6

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": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1992247894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 SPYGLASS HILL RD STE 105",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408567",
            "telephone_number": "321-610-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 SPYGLASS HILL RD STE 105",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408567",
            "telephone_number": "321-610-4960",
            "fax_number": "321-610-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR INTERNAL MEDICINE AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-742-4484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "ME124494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 5, 2024; 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.