Kishore R Patsamatla (NPI# 1710935267, PAC ID# 1557355799) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1710935267 |
| PAC ID by PECOS | 1557355799 |
| Professional Enrollment ID | I20071119000126 |
| Full Name | Kishore R Patsamatla |
| Organization Legal Name | MEL BAY HEALTH CARE INC |
| Address |
5205 Babcock St Ne Suite 3 Palm Bay FL 32905-4638 |
| Phone Number | 3217291400 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3375737992 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| 100316 | PALM BAY HOSPITAL |
| 100177 | CAPE CANAVERAL HOSPITAL |
| 100315 | VIERA HOSPITAL |
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| Address | Phone | Organization |
|---|---|---|
| 5205 Babcock St Ne, Suite 3, Palm Bay, FL 32905-4638 | 3217291400 | MEL BAY HEALTH CARE INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 48% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 22% |
| Organization Legal Name | MEL BAY HEALTH CARE INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph H. Rabinowitz | Family Medicine | Mel Bay Health Care Inc | 950 S Apollo Blvd, Melbourne, FL 32901-1932 |
| Lawrence G Nelson | Family Medicine | Mel Bay Health Care Inc | 950 S Apollo Blvd, Melbourne, FL 32901-1932 |
| Ian Richard Day | Hospitalist | Mel Bay Health Care Inc | 3000 N Atlantic Ave, Suite 108, Cocoa Beach, FL 32931-5029 |
| Michael Christopher Ianniello | Internal Medicine | Mel Bay Health Care Inc | 950 S Apollo Blvd, Melbourne, FL 32901-1932 |
| Street Address |
5205 BABCOCK ST NE SUITE 3 |
| City | PALM BAY |
| State | FL |
| Zip | 32905-4638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl D Bebey | Clinical Social Worker | 1501 Robert Conlan Blvd, Suite 200, Palm Bay, FL 32905 | |
| Vicki M Merrick | Chiropractic | 2060 Palm Bay Rd Ne, Suite 2, Palm Bay, FL 32905-2931 | |
| Tricia Solito | Nurse Practitioner | Apollo Healthcare Associates LLC | 2105 Palm Bay Nerd, 3w, Palm Bay, FL 32905-2937 |
| Frank P Filiberto | Otolaryngology | 2105 Palm Bay Rd Ne, Suite 6w, Palm Bay, FL 32905-2937 | |
| Sabir Ali | General Surgery | 2105 Palm Bay Nerd, Suite 1, Palm Bay, FL 32905-2937 | |
| Pamela L Ojha | Endocrinology | Apollo Healthcare Associates LLC | 2105 Palm Bay Nerd, 3w, Palm Bay, FL 32905-2937 |
| Brenda K Clemens | Nurse Practitioner | Apollo Healthcare Associates LLC | 2105 Palm Bay Nerd, 3w, Palm Bay, FL 32905-2937 |
| Sheryl A Welton | Clinical Social Worker | 4630 Lipscomb Nest, Suite 2, Palm Bay, FL 32905-2940 | |
| Scott M Kaplan | Psychologist, Clinical | 1501 Robert J Conlan Blvd Ne, Suite 100, Palm Bay, FL 32905-3560 | |
| Laura L Dion | Clinical Social Worker | 1501 Robert J Conlan Blvd Ne, Suite 200, Palm Bay, FL 32905-3561 | |
| Find all physicians in zip 32905 | |||
| City | PALM BAY |
| Zip Code | 32905 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PALM BAY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kishore R Patsamatla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.