MR. MARC EDWARD MELLIZA M.A. CCC-A
NPI 1255471611
Audiologist in Dunedin, FL

Active since February 07, 2007
646 VIRGINIA STREET, 3RD FLOOR, DUNEDIN, FL 34698(727) 450-0560 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Marc Edward Melliza M.a. Ccc-a NPPES

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

MR. MARC EDWARD MELLIZA M.A. CCC-A (NPI 1255471611) is an individual audiologist in Dunedin, Florida, licensed in Florida (AY823) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1255471611
Entity TypeIndividualMale
Primary Taxonomy231H00000X
Provider Legal NameMR. MARC EDWARD MELLIZACredential: M.A. CCC-A
Location Address646 VIRGINIA STREET, 3RD FLOORDunedin, FL 34698
Mailing Address646 Virginia Street, 3rd FloorDunedin, FL 34698 · (727) 450-0560
Sole ProprietorNo
Enumeration DateFebruary 7, 2007
Last NPPES UpdateMarch 9, 2017
✔ NPI 1255471611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in FL · AY823
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
646 VIRGINIA STREET, Dunedin, FL 34698

Other Identifiers 1

Medicare UPINGG641ZFL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Marc Edward Melliza M.a. Ccc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Marc Melliza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otolaryngology
1330 SOUTH FORT HARRISON
Clearwater, FL 33756
  • Reassigned Medicare billing, Florida enrollment
  • 30 clinicians in this Medicare group
Audiologist-Hearing Aid Fitter
7136 MUIRFIELD DR STE C-100
Dublin, OH 43017
  • Reassigned Medicare billing, Florida enrollment
  • 30 clinicians in this Medicare group

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 Marc Melliza's NPI number?

The NPI number for Marc Melliza is 1255471611. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Marc Melliza located?

Marc Melliza practices at 646 Virginia Street 3rd Floor, Dunedin, FL 34698. The listed phone number is (727) 450-0560.

What is Marc Melliza's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Marc Melliza enrolled in Medicare?

Yes. Marc Melliza is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marc Melliza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Melliza reassigns Medicare benefits to 2 organizations: West Coast Ear, Nose & Throat Inc (Clearwater, FL) and Audiology Distribution, LLC (Dublin, OH). Each 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 Marc Melliza'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 Marc Melliza was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.