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DR. JOHN CHARLES LYDON M.D.
NPI 1093726853
Anesthesiology in Melbourne, FL

Active since August 10, 2006PECOS Enrolled
1304 OAK ST, MELBOURNE, FL 32901(321) 723-4723(321) 727-1448 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John Charles Lydon M.d. NPPES

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

DR. JOHN CHARLES LYDON M.D. (NPI 1093726853) is an individual anesthesiology provider in Melbourne, Florida, licensed in Florida (ME53680) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093726853
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. JOHN CHARLES LYDONCredential: M.D.
Location Address1304 OAK STMelbourne, FL 32901-3111
Mailing Address1304 Oak StMelbourne, FL 32901-3111 · (321) 723-4723 · Fax (321) 727-1448
Phone(321) 723-4723
Fax(321) 727-1448
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093726853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in FL · ME53680
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1304 OAK ST, Melbourne, FL 32901
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified07052ZFL
Other07052DC · Bcbsfl
Medicare UPINB54711FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Charles Lydon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show John Lydon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brevard Physician Associates, PLLC
2.1 mi
Anesthesiology
1775 W HIBISCUS BLVD STE 215
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 378 clinicians in this Medicare group
NPI 1598008955 (321) 837-3820

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. MARIO A CAMPS M.D.
Anesthesiology
1304 OAK ST
MELBOURNE, FL 32901
Brevard County (321) 723-4723
BARRY T ROBERTS CRNA
Nurse Anesthetist, Certified Registered
1304 OAK ST
MELBOURNE, FL 32901
Brevard County (321) 723-4723
DR. OSCAR JET WEBB M.D.
Anesthesiology
1304 OAK ST
MELBOURNE, FL 32901
Brevard County (321) 723-4723
DR. JEFFREY BOTHE GILLINGHAM M.D.
Anesthesiology
1304 OAK ST
MELBOURNE, FL 32901
Brevard County (321) 723-4723
JOLENE KEIKO GORANOVIC AA-C
Anesthesiologist Assistant
1304 OAK ST
MELBOURNE, FL 32901
Brevard County (321) 723-4723
DR. JOHN J HARRINGTON D.O.
Anesthesiology (Pain Medicine)
1304 OAK ST
MELBOURNE, FL 32901
Brevard County (321) 723-4723
PATRICIA NAVARA CRNA
Nurse Anesthetist, Certified Registered
1304 OAK ST
MELBOURNE, FL 32901
Brevard County (321) 723-4723
KANDEE G COPPALA CRNA
Nurse Anesthetist, Certified Registered
1304 OAK ST
MELBOURNE, FL 32901
Brevard County (321) 723-4723

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 John Lydon's NPI number?

The NPI number for John Lydon is 1093726853. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is John Lydon located?

John Lydon practices at 1304 Oak St, Melbourne, FL 32901. The listed phone number is (321) 723-4723.

What is John Lydon's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is John Lydon enrolled in Medicare?

Yes. John Lydon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Lydon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Lydon reassigns Medicare benefits to Brevard Physician Associates, PLLC (Melbourne, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Lydon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Lydon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.