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MELBOURNE PODIATRY ASSOCIATES
NPI 1174506877
Podiatrist in Melbourne, FL

Active since November 28, 2005
1515 DR MARTIN LUTHER KING JR BLVD, MELBOURNE, FL 32901(321) 723-3500(321) 723-1945 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2023, Feb 23, 2023 (2 updates tracked since 2023).

About Melbourne Podiatry Associates NPPES

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

MELBOURNE PODIATRY ASSOCIATES (NPI 1174506877) is a healthcare organization registered as a podiatrist in Melbourne, Florida and active in the NPI registry since November 2005. The organization lists Jared B Moyles, President, as its authorized official.

NPPES Registry Identity

NPI1174506877
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMELBOURNE PODIATRY ASSOCIATES, P.A.
Location Address1515 DR MARTIN LUTHER KING JR BLVDMelbourne, FL 32901-2946
Mailing Address1515 Dr Martin Luther King Jr BlvdMelbourne, FL 32901-2946 · (321) 723-3500 · Fax (321) 723-1945
Phone(321) 723-3500
Fax(321) 723-1945
Organization SubpartNo
Authorized OfficialJared B MoylesPresident · (321) 723-3500
Enumeration DateNovember 28, 2005
Last NPPES UpdateMay 12, 20232 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
✔ NPI 1174506877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1515 DR MARTIN LUTHER KING JR BLVD, Melbourne, FL 32901
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Other Names 1

Doing Business AsMelbourne Podiatry Associates

Other Identifiers 2

Other72224FL · Bcbs
Medicaid041009800FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melbourne Podiatry Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Melbourne Podiatry Associates, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Jared Moyles, D.P.M
Podiatry
NPI 1457589244
1515 DR MARTIN LUTHER KING JR BLVD
Melbourne, FL 32901
(321) 723-3500
✔ PECOS✔ Accepts MedicareSame address
Jessica Wilson, DPM
Podiatry
NPI 1558701243
1515 DR MARTIN LUTHER KING JR BLVD
Melbourne, FL 32901
(321) 723-3500
✔ PECOS✔ Accepts MedicareSame address
Richard Wilson, DPM
Podiatry
NPI 1972587350
1515 DR MARTIN LUTHER KING JR BLVD
Melbourne, FL 32901
(321) 723-3500
✔ PECOS✔ Accepts MedicareSame address
Thomas Wilson, DPM
Podiatry
NPI 1184064834
1515 DR MARTIN LUTHER KING JR BLVD
Melbourne, FL 32901
(321) 723-3500
✔ PECOS✔ Accepts MedicareSame address

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

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 Melbourne Podiatry Associates, P.A.'s NPI number?

The NPI number for Melbourne Podiatry Associates, P.A. is 1174506877. It was assigned to this organization in the NPPES registry on November 28, 2005. The provider is doing business as Melbourne Podiatry Associates.

Where is Melbourne Podiatry Associates, P.A. located?

Melbourne Podiatry Associates, P.A. is located at 1515 Dr Martin Luther King Jr Blvd, Melbourne, FL 32901. The listed phone number is (321) 723-3500.

What is Melbourne Podiatry Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Melbourne Podiatry Associates, P.A. enrolled in Medicare?

Yes. Melbourne Podiatry Associates, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Melbourne Podiatry Associates, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Podiatry, reassign their Medicare billing to Melbourne Podiatry Associates, P.A.. A 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 the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Melbourne Podiatry Associates, P.A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Melbourne Podiatry Associates, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melbourne Podiatry Associates, P.A. was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.