Melissa Rose Mora, D.O

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS11560 Issued in FL

Practice address

8188 S Jog Rd Ste 205
Boynton Beach, FL 33472-2952

Phone

(561) 231-5200

Fax

(561) 231-5210

NPI assigned

Sep 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Internal Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providers Health Alliance, LLCGroup PAC ID 9739462813, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health of Bethesda Home health agency, Boynton Beach, FL, CCN 107214
• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
• Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20004/brand/12/csg/1/fhir/r4
• Direct secure messaging: melissa.mora.1@20004.direct.athenahealth.com

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.

• Providers Health Alliance, LLC

  • Internal Medicine Physician
  • Loxahatchee, FL
  • NPI 1689064834
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bethesda Hospital, Inc.

  • General Acute Care Hospital
  • Boynton Beach, FL
  • NPI 1417952748
  Care Compare affiliation
• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation
• Careservices of Bethesda LLC

  • Home Health Agency
  • Boynton Beach, FL
  • NPI 1992759864
  Care Compare affiliation

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1992938203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12008 S SHORE BLVD",
            "address_2": "SUITE 108",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8188 S JOG RD STE 205",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722952",
            "telephone_number": "561-231-5200",
            "fax_number": "561-231-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "MELISSA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "melissa.mora10@gmail.com",
            "affiliation": "N",
            "address_1": "8188 S Jog Rd Ste 205",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334722952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Satonia Janai Montgomery
• Juan D Montoya, M.D.
• Daniela Moore, P.T.
• Nikki Marlene Moore, APRN, NP-C
• Sharlette Moore
• Moracy Home Health Care LLC
• David J Morales, RNFA
• Nicole Morales, LCSW
• Vanessa Morales, PTA
• Jeanie Moran, C.S.F.A.

• Internal Medicine Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.