FAMILY ENT & AUDIOLOGY
NPI 1508002072
Otolaryngology - Pediatric Otolaryngology in Melbourne, FL

Q: What is Pediatric Ent, LLC's NPI number?

The NPI number for Pediatric Ent, LLC is 1508002072. It was assigned to this organization in the NPPES registry on January 5, 2009. The provider is doing business as Family Ent & Audiology.

Q: What is Pediatric Ent, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Active since January 05, 2009

1499 S HARBOR CITY BLVD STE 303, MELBOURNE, FL 32901(321) 254-5437(321) 254-4543 Get Directions Write a Review

NPPES record last updated: April 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Family Ent & Audiology NPPES

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

FAMILY ENT & AUDIOLOGY (NPI 1508002072) is a healthcare organization registered as a pediatric otolaryngology in Melbourne, Florida and active in the NPI registry since January 2009. The organization lists David Joel Malis, Manager, as its authorized official.

NPPES Registry Identity

NPI1508002072

Entity TypeOrganization

Primary Taxonomy207YP0228X

Legal Business NamePEDIATRIC ENT, LLC

Location Address1499 S HARBOR CITY BLVD STE 303Melbourne, FL 32901-3245

Mailing Address1499 S Harbor City Blvd Ste 303Melbourne, FL 32901-3245 · (321) 254-5437 · Fax (321) 254-4543

Phone(321) 254-5437

Fax(321) 254-4543

Organization SubpartNo

Authorized OfficialDavid Joel MalisManager · (321) 254-5437

Enumeration DateJanuary 5, 2009

Last NPPES UpdateApril 18, 2014

✔ NPI 1508002072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207YP0228X

License✔ Licensed in FL · ME90348

Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

1499 S HARBOR CITY BLVD STE 303, Melbourne, FL 32901

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Other Names 1

Doing Business AsFamily Ent & Audiology

Other Identifiers 4

Other01269821FL · Medicaid Hmo - Amerigroup

Medicaid271247400FL

Other2258392FL · Medicaid Hmo - United Health Care

Other332181FL · Medicaid Hmo - Wellcare

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 Ambetter Health, Ambetter of Alabama.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)

Family Ent & Audiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Family Ent & Audiology, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Malis, MD

Otolaryngology

NPI 1649242538

1499 S HARBOR CITY BLVD SUITE 303
Melbourne, FL 32901

(321) 254-5437

✔ 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 Pediatric Ent, LLC's NPI number?

The NPI number for Pediatric Ent, LLC is 1508002072. It was assigned to this organization in the NPPES registry on January 5, 2009. The provider is doing business as Family Ent & Audiology.

Where is Pediatric Ent, LLC located?

Pediatric Ent, LLC is located at 1499 S Harbor City Blvd Ste 303, Melbourne, FL 32901. The listed phone number is (321) 254-5437.

What is Pediatric Ent, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Pediatric Ent, LLC enrolled in Medicare?

Yes. Pediatric Ent, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Ent, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Pediatric Ent, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pediatric Ent, LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Pediatric Ent, LLC 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 Pediatric Ent, LLC was last updated on April 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.