TOMOR SEDALIU
NPI 1003355850
Hospitalist in Melbourne, FL

Active since February 13, 2017PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
1350 HICKORY ST, MELBOURNE, FL 32901(321) 434-1771 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 24, 2025, Feb 5, 2025, Jan 4, 2021 and 1 more (4 updates tracked since 2017).

About Tomor Sedaliu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOMOR SEDALIU (NPI 1003355850) is an individual hospitalist provider in Melbourne, Florida, licensed in Florida (ME170112) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003355850
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTOMOR SEDALIU
Location Address1350 HICKORY STMelbourne, FL 32901-3224
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 434-1771
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 13, 2017
Last NPPES UpdateFebruary 24, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
NPI 1003355850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · ME170112
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME170112 (FL)
1350 HICKORY ST, Melbourne, FL 32901

Secondary Practice Locations 2

Location 18 Tilson LnSandy Hook, CT 06482-1278 · Phone (203) 816-7115
Location 2267 Grant StBridgeport, CT 06610-2805 · Phone (203) 384-4677 · Fax (203) 384-3135

Other Identifiers 2

Medicaid125405300FL
OtherUN224FL · Medicare Hf

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tomor Sedaliu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193138113
PECOS Enrollment IDI20210113000888, I20250220001229
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
117 services58 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
83 services78 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
52 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services29 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
40 services37 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Cape Canaveral Hospital

Acute Care Hospitals · Cocoa Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100177
Location701 W Cocoa Beach CausewayCocoa Beach, FL 32932 · Brevard County
Emergency services Birthing friendly

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Palm Bay Hospital

Acute Care Hospitals · Palm Bay, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100316
Location1425 Malabar Rd, NEPalm Bay, FL 32907 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Nurse Practitioner (Adult Health)
1350 HICKORY ST
MELBOURNE, FL 32901
Nurse Practitioner
1350 HICKORY ST
MELBOURNE, FL 32901
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Internal Medicine (Pulmonary Disease)
1350 HICKORY ST
MELBOURNE, FL 32901
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Surgery (Trauma Surgery)
1350 HICKORY ST
MELBOURNE, FL 32901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tomor Sedaliu's NPI number?

The NPI number for Tomor Sedaliu is 1003355850. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Where is Tomor Sedaliu located?

Tomor Sedaliu practices at 1350 Hickory St, Melbourne, FL 32901. The listed phone number is (321) 434-1771.

What is Tomor Sedaliu's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Tomor Sedaliu enrolled in Medicare?

Yes. Tomor Sedaliu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tomor Sedaliu affiliated with any hospitals?

According to CMS data, Tomor Sedaliu is affiliated with Holmes Regional Medical Center, Cape Canaveral Hospital, Viera Hospital and Palm Bay Hospital.

When was this NPI record last updated?

The NPPES record for Tomor Sedaliu was last updated on February 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.