BREVARD INTERNAL MEDICINE & WALK-IN CLINIC
NPI 1710216262
Clinic/Center - Primary Care in W Melbourne, FL
About Brevard Internal Medicine & Walk-in Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREVARD INTERNAL MEDICINE & WALK-IN CLINIC (NPI 1710216262) is a healthcare organization registered as a primary care in W Melbourne, Florida and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through February 15, 2028 and lists Aravind Kumar, Sole Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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)
Brevard Internal Medicine & Walk-in Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Brevard Internal Medicine & Walk-In Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 10D2003646
Brevard Internal Medicine And Walk In Clinic · West Melbourne, FLFrequently 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 Brevard Internal Medicine & Walk-In Clinic's NPI number?
The NPI number for Brevard Internal Medicine & Walk-In Clinic is 1710216262. It was assigned to this organization in the NPPES registry on December 11, 2009.
Where is Brevard Internal Medicine & Walk-In Clinic located?
Brevard Internal Medicine & Walk-In Clinic is located at 2795 W New Haven Ave, W Melbourne, FL 32904. The listed phone number is (321) 622-8626.
What is Brevard Internal Medicine & Walk-In Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Brevard Internal Medicine & Walk-In Clinic enrolled in Medicare?
Yes. Brevard Internal Medicine & Walk-In Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brevard Internal Medicine & Walk-In Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Brevard Internal Medicine & Walk-In Clinic. 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. The largest specialties are Nurse Practitioner (4) and Internal Medicine (2). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Brevard Internal Medicine & Walk-In Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2003646) is associated with this NPI, valid through February 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Brevard Internal Medicine & Walk-In Clinic accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Brevard Internal Medicine & Walk-In Clinic 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 Brevard Internal Medicine & Walk-In Clinic was last updated on February 7, 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.
# Brevard Internal Medicine & Walk-In Clinic · NPI 1710216262
Primary Care organization in W Melbourne, Florida. Organization record, active in the CMS NPPES registry since December 11, 2009.
## Identity
- **NPI:** 1710216262 (Entity type: Organization)
- **Enumerated:** December 11, 2009
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Aravind Kumar, SOLE OWNER
## Practice location
- **Address:** 2795 W NEW HAVEN AVE, W Melbourne, FL 32904-3705
- **Phone:** (321) 622-8626 · **Fax:** (321) 622-8627
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Internal Medicine (2); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2014
- **Other identifiers:** Medicare PIN AD979Z (FL); Medicare UPIN I07145 (NY)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1710216262) · Data from the CMS NPPES public registry.