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MELINDA SOTIRI MADDEN MD
NPI 1508306549
Internal Medicine - Infectious Disease in Orlando, FL

Active since February 23, 2017PECOS EnrolledAccepts Medicare Assignment
1012 LUCERNE TER, ORLANDO, FL 32806(407) 423-1039(407) 425-2347 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2024, May 4, 2023, Oct 5, 2022 and 3 more (6 updates tracked since 2017).

About Melinda Sotiri Madden Md NPPES

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

MELINDA SOTIRI MADDEN MD (NPI 1508306549) is an individual infectious disease provider in Orlando, Florida, licensed in Florida (ME155539) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1508306549
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameMELINDA SOTIRI MADDENCredential: MD
Location Address1012 LUCERNE TEROrlando, FL 32806-1015
Mailing Address1012 Lucerne TerOrlando, FL 32806-1015 · (407) 423-1039 · Fax (407) 425-2347
Phone(407) 423-1039
Fax(407) 425-2347
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 23, 2017
Last NPPES UpdateJuly 2, 20246 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1508306549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME155539
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME155539 (FL), 065266 (CT)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1012 LUCERNE TER, Orlando, FL 32806
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Other Names 1

Former Name (1)Majlinda Sotiri Madden Md

Secondary Practice Location 1

Location 152 W underwood stOrlando, FL 32806 · Phone (321) 841-5111

Other Identifiers 1

Medicaid118035500FL

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

Melinda Sotiri Madden Md 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 ID1658795109
PECOS Enrollment IDI20230512002566
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 Reassignments

2

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

Orlando Health Medical Group Inc
0.3 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452
Central Florida Infectious Diseases LLC
42 mi
Infectious Disease
200 AVENUE F SW
Winter Haven, FL 33880
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1457590721 (863) 293-1121

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
281 services140 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
167 services110 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
80 services76 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
65 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services18 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number100030
Location10000 W Colonial DrOcoee, FL 34761 · Orange County
Emergency services

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Orlando Health St Cloud Hospital

Acute Care Hospitals · Saint Cloud, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100302
Location2906 17th StreetSaint Cloud, FL 34769 · Osceola County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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 20

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

NAFEES ZEHRA HUSSAIN FNP
Nurse Practitioner (Adult Health)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
ROXANA FERRERA ARNP
Nurse Practitioner
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
ANTONIO CRESPO MD
Internal Medicine (Infectious Disease)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
EDGAR HERRERA SANCHEZ M.D.
Internal Medicine (Infectious Disease)
1012 LUCERNE TER, MP 803
ORLANDO, FL 32806
Orange County (407) 423-1039
CHRISTIAN DONATO SANTANA M.D.
Internal Medicine (Infectious Disease)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
IVY KIM LONG PHAN APRN
Nurse Practitioner (Adult Health)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039
DIANA M. SALAZAR M.D.
Internal Medicine (Infectious Disease)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (321) 841-7750
ORLANDO HEALTH MEDICAL GROUP INC
Internal Medicine (Infectious Disease)
1012 LUCERNE TER
ORLANDO, FL 32806
Orange County (407) 423-1039

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 Melinda Madden's NPI number?

The NPI number for Melinda Madden is 1508306549. It was assigned to this individual provider in the NPPES registry on February 23, 2017. The provider is also known as Majlinda Sotiri Madden MD.

Where is Melinda Madden located?

Melinda Madden practices at 1012 Lucerne Ter, Orlando, FL 32806. The listed phone number is (407) 423-1039.

What is Melinda Madden's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Melinda Madden enrolled in Medicare?

Yes. Melinda Madden 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 organizations bill Medicare for Melinda Madden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melinda Madden reassigns Medicare benefits to 2 organizations: Orlando Health Medical Group Inc (Orlando, FL) and Central Florida Infectious Diseases LLC (Winter Haven, FL). 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 Melinda Madden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melinda Madden accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Melinda Madden 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 Melinda Madden affiliated with any hospitals?

According to CMS data, Melinda Madden is affiliated with Orlando Health, Orlando Health-Health Central Hospital, Orlando Health South Lake Hospital, Winter Haven Hospital and Orlando Health St Cloud Hospital.

When was this NPI record last updated?

The NPPES record for Melinda Madden was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.