INFECTIOUS DISEASES SPECIALIST OF BREVARD LLC – Infectious Disease Physician, NPI 1497111983
Infectious Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for INFECTIOUS DISEASES SPECIALIST OF BREVARD LLC
5701 RUSACK DR
MELBOURNE, FL 329408017
Phone:
Type: Mailing
Rockledge Regional Medical Center, 110, Longwood Avenue, Rockledge, Brevard County, Florida, 32955, United States
ROCKLEDGE, FL 329552828
Phone: (321) 636-2211
Type: Location
494 N Washington Ave
Titusville, FL 327962871
Phone: (321) 208-8934
Type: Location
951 N WASHINGTON AVE
TITUSVILLE, FL 327963279
Phone: (321) 750-6579
Fax: (844) 433-3836
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-04-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20160425002553 | O | Clinic/Group Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32940)
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