MELBOURNE GI CENTER – Ambulatory Surgical Clinic/Center, NPI 1679556864

MELBOURNE GI CENTER is a healthcare provider. based in Rockledge, Florida. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 1133 (FL). The NPI Number for MELBOURNE GI CENTER is 1679556864

Main info

Organization
Name
MELBOURNE GI CENTER
NPI
1679556864
Phone
(321) 434-5491
Address
PO BOX 562767
Authorized Official
KRISTEN PULIO SVP CFO
Enumeration Date
22 November 2005
Last Update Date
4 June 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for MELBOURNE GI CENTER

  • PO BOX 562767

    ROCKLEDGE, FL 329562767

    Phone: (321) 434-5491

    Fax: (321) 434-5419

    Type: Mailing

  • 1051, Hickory Street, Melbourne, Brevard County, Florida, 32901, United States

    SUITE K

    MELBOURNE, FL 329011962

    Phone: (321) 434-1919

    Fax: (321) 434-5419

    Type: Location

  • PO BOX 749198

    ATLANTA, GA 303749198

    Phone: (321) 434-5055

    Fax: (321) 434-5419

    Type: Mailing

  • 5191 BABCOCK ST NE

    PALM BAY, FL 329054610

    Phone: (321) 434-1919

    Fax: (321) 434-5419

    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: 2009-05-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20090505000475OAmbulatory Surgical CenterFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
45380Biopsy of large bowel using a flexible endoscope646642$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope544537$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare307305$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk193192$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk107105$0
View full utilization report →

Insurance plans in this area (ZIP 32956)

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Reviews

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Frequently asked questions

How do payers reference MELBOURNE GI CENTER?
For MELBOURNE GI CENTER, use NPI 1679556864 as the unique 10-digit identifier.
Would MELBOURNE GI CENTER appear as active to a payer?
You can treat MELBOURNE GI CENTER as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MELBOURNE GI CENTER?
MELBOURNE GI CENTER is associated with Ambulatory Surgical Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
Is MELBOURNE GI CENTER located near Rockledge?
MELBOURNE GI CENTER currently maps to Rockledge, Florida in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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