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PREMIER URGENT CAREBADOLATO FAMILY HEALTH
NPI 1659316941
Family Medicine in Melbourne, FL

Active since June 19, 2006CLIA 10D1006507 · Waiver
6300 N WICKHAM RD, SUITE 101, MELBOURNE, FL 32940(321) 253-2169(321) 253-1720 Get Directions Write a Review

NPPES record last updated: September 28, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Premier Urgent Carebadolato Family Health NPPES

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

PREMIER URGENT CAREBADOLATO FAMILY HEALTH (NPI 1659316941) is a healthcare organization registered as a family medicine in Melbourne, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists David Badolato, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1659316941
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameD BADOLATO PA
Location Address6300 N WICKHAM RD, SUITE 101Melbourne, FL 32940-2028
Mailing Address6300 N Wickham Rd, Suite 101Melbourne, FL 32940-2028 · (321) 253-2169 · Fax (321) 253-1720
Phone(321) 253-2169
Fax(321) 253-1720
Organization SubpartNo
Authorized OfficialDavid BadolatoPhysician/owner · (321) 253-2169
Enumeration DateJune 19, 2006
Last NPPES UpdateSeptember 28, 2009
✔ NPI 1659316941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
6300 N WICKHAM RD, Melbourne, FL 32940
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Other Names 1

Doing Business AsPremier Urgent Carebadolato Family Health

Other Identifiers 2

Medicare NSC5755350001FL
Medicare ID-Type UnspecifiedK3321FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.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)

Premier Urgent Carebadolato Family Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Premier Urgent Carebadolato Family Health, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Yvette Lopez Granberry, M.D.
Internal Medicine
NPI 1750384772
6300 N WICKHAM RD STE 101
Melbourne, FL 32940
(321) 253-2169
✔ PECOS✔ Accepts MedicareSame address
David Badolato, MD
Family Practice
NPI 1194728121
6300 N WICKHAM RD STE 101
Melbourne, FL 32940
(321) 253-2169
✔ PECOS✔ Accepts MedicareSame address
Stephen Badolato, MD
Family Practice
NPI 1194728832
6300 N WICKHAM RD STE 101 -108
Melbourne, FL 32940
(321) 253-2169
✔ 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1006507

Badolato Family Health At Suntree · Melbourne, FL
Active · expires Nov 24, 2026
CLIA Number10D1006507
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorDavid W. Badolato
Laboratory Phone(321) 424-7425
Laboratory LocationBadolato Family Health At Suntree6300 N Wickham Rd Ste 101, Melbourne, FL 32940
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 D Badolato PA's NPI number?

The NPI number for D Badolato PA is 1659316941. It was assigned to this organization in the NPPES registry on June 19, 2006. The provider is doing business as Premier Urgent Carebadolato Family Health.

Where is D Badolato PA located?

D Badolato PA is located at 6300 N Wickham Rd Suite 101, Melbourne, FL 32940. The listed phone number is (321) 253-2169.

What is D Badolato PA's specialty?

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

Is D Badolato PA enrolled in Medicare?

Yes. D Badolato PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through D Badolato PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to D Badolato PA, in Family Practice and Internal Medicine. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does D Badolato PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1006507) is associated with this NPI, valid through November 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does D Badolato PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list D Badolato PA 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 D Badolato PA was last updated on September 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.