DR. JOSE MANUEL MELENDEZ-ROSADO M.D.
NPI 1356786628
Internal Medicine - Gastroenterology in Lake Worth, FL

Q: What is Jose Melendez-rosado's NPI number?

The NPI number for Jose Melendez-rosado is 1356786628. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Q: What is Jose Melendez-rosado's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since May 01, 2013PECOS EnrolledAccepts Medicare Assignment

5065 S STATE ROAD 7 STE 201, LAKE WORTH, FL 33449(561) 753-7487(561) 273-2331 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Jose Manuel Melendez-rosado M.d. NPPES

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

DR. JOSE MANUEL MELENDEZ-ROSADO M.D. (NPI 1356786628) is an individual gastroenterology provider in Lake Worth, Florida, licensed in Florida (ME121413) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Wellington Regional Medical Center, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1356786628

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. JOSE MANUEL MELENDEZ-ROSADOCredential: M.D.

Location Address5065 S STATE ROAD 7 STE 201Lake Worth, FL 33449-5439

Mailing Address5065 S State Road 7 Ste 201Lake Worth, FL 33449-5439 · (561) 753-7487 · Fax (561) 273-2331

Phone(561) 753-7487

Fax(561) 273-2331

Sole ProprietorNo

Medical School CMSPonce School Of MedicineGraduated 2013

Enumeration DateMay 1, 2013

Last NPPES UpdateJune 27, 2019

✔ NPI 1356786628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in FL · ME121413

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

5065 S STATE ROAD 7 STE 201, Lake Worth, FL 33449

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Secondary Practice Location 1

Location 14500 San Pablo Rd SJacksonville, FL 32224-1865 · Phone (904) 953-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose Manuel Melendez-rosado M.d. 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 ID2466695598

PECOS Enrollment IDI20190719001382

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 Jose Melendez-rosado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eisenman & Eisenman,m.D.,llc

2.4 mi

Gastroenterology

5065 STATE RD 7, SUITE 201
Lake Worth, FL 33449

Reassigned Medicare billing, Florida enrollment
7 clinicians in this Medicare group

NPI 1225062243 (561) 753-7487

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

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

101 services79 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

51 services51 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

48 services48 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

43 services42 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

34 services34 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

34 services31 patients

Hospital Affiliations CMS Care Compare

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

Wellington Regional Medical Center

Acute Care Hospitals · Wellington, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100275

Location10101 Forest Hill BlvdWellington, FL 33414 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33449 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Other Providers at the Same Location NPPES 2

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

ROBERTO FOGEL MD

Internal Medicine (Gastroenterology)

5065 S STATE ROAD 7 STE 201
LAKE WORTH, FL 33449

Palm Beach County (561) 753-7487

YOUSEF JOSEPH USTA MD

Internal Medicine (Gastroenterology)

5065 S STATE ROAD 7 STE 201
LAKE WORTH, FL 33449

Palm Beach County (561) 753-7487

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 Jose Melendez-rosado's NPI number?

The NPI number for Jose Melendez-rosado is 1356786628. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Jose Melendez-rosado located?

Jose Melendez-rosado practices at 5065 S State Road 7 Ste 201, Lake Worth, FL 33449. The listed phone number is (561) 753-7487.

What is Jose Melendez-rosado's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jose Melendez-rosado enrolled in Medicare?

Yes. Jose Melendez-rosado 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.

Which organization bills Medicare for Jose Melendez-rosado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Melendez-rosado reassigns Medicare benefits to Eisenman & Eisenman,m.D.,llc (Lake Worth, 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 Jose Melendez-rosado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Melendez-rosado accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Jose Melendez-rosado 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.

Is Jose Melendez-rosado affiliated with any hospitals?

According to CMS data, Jose Melendez-rosado is affiliated with Wellington Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Melendez-rosado was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.