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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANITA FAZELI DO
NPI 1376232009
Family Medicine in Melbourne, FL

Active since May 08, 2023PECOS Enrolled
8055 SPYGLASS HILL RD STE 102, MELBOURNE, FL 32940(321) 842-5591(321) 842-5595 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 31, 2026, May 8, 2023 (2 updates tracked since 2023).

About Anita Fazeli Do NPPES

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

ANITA FAZELI DO (NPI 1376232009) is an individual family medicine provider in Melbourne, Florida, licensed in Florida (OS21747) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of William Carey University College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1376232009
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANITA FAZELICredential: DO
Location Address8055 SPYGLASS HILL RD STE 102Melbourne, FL 32940-8564
Mailing Address8055 Spyglass Hill Rd Ste 102Melbourne, FL 32940-8564 · (321) 842-5591 · Fax (321) 842-5595
Phone(321) 842-5591
Fax(321) 842-5595
Sole ProprietorYes
Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2023
Enumeration DateMay 8, 2023
Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1376232009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS21747
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8055 SPYGLASS HILL RD STE 102, Melbourne, FL 32940
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Secondary Practice Location 1

Location 12627 Riverside AveJacksonville, FL 32204-4717 · Phone (904) 308-7372

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anita Fazeli Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698110625
PECOS Enrollment IDI20260529000519
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32940 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 4

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

STEWARD MEDICAL GROUP, INC
Internal Medicine (Cardiovascular Disease)
8055 SPYGLASS HILL RD STE 102
MELBOURNE, FL 32940
Brevard County (321) 452-3811
DR. DWAYNE K BADGETT M.D.
Surgery (Vascular Surgery)
8055 SPYGLASS HILL RD STE 102
MELBOURNE, FL 32940
Brevard County (321) 255-8080
JOYCE COLSON
Nurse Practitioner (Family)
8055 SPYGLASS HILL RD STE 102
MELBOURNE, FL 32940
Brevard County (321) 255-8080
SRIVIDYA KANNAN MD
Family Medicine
8055 SPYGLASS HILL RD STE 102
MELBOURNE, FL 32940
Brevard County (321) 842-9551

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 Anita Fazeli's NPI number?

The NPI number for Anita Fazeli is 1376232009. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Anita Fazeli located?

Anita Fazeli practices at 8055 Spyglass Hill Rd Ste 102, Melbourne, FL 32940. The listed phone number is (321) 842-5591.

What is Anita Fazeli's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anita Fazeli enrolled in Medicare?

Yes. Anita Fazeli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anita Fazeli was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.