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DR. ANDRE DE SOUZA E MELO M.D.
NPI 1720430788
Internal Medicine in Lakewood Ranch, FL

Active since July 01, 2016PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
8131 LAKEWOOD MAIN ST STE 205, LAKEWOOD RANCH, FL 34202(941) 359-9546(941) 344-0621 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 26, 2025, Apr 30, 2024, Jun 14, 2023 and 2 more (5 updates tracked since 2016).

About Dr. Andre De Souza E Melo M.d. NPPES

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

DR. ANDRE DE SOUZA E MELO M.D. (NPI 1720430788) is an individual internal medicine provider in Lakewood Ranch, Florida, licensed in Florida (ME162083) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and maintains a secondary practice location in Lakewood Ranch.

NPPES Registry Identity

NPI1720430788
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANDRE DE SOUZA E MELOCredential: M.D.
Location Address8131 LAKEWOOD MAIN ST STE 205Lakewood Ranch, FL 34202-5060
Mailing Address8131 Lakewood Main St Ste 205Lakewood Ranch, FL 34202-5060 · (941) 359-9546 · Fax (941) 344-0621
Phone(941) 359-9546
Fax(941) 344-0621
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 1, 2016
Last NPPES UpdateNovember 26, 20255 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1720430788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME162083
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8131 LAKEWOOD MAIN ST STE 205, Lakewood Ranch, FL 34202
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Secondary Practice Location 1

Location 18130 Lakewood main street 103, 401Lakewood Ranch, FL 34202 · Phone (941) 504-1652

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).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

Dr. Andre De Souza E Melo M.d. 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 ID1850686106
PECOS Enrollment IDI20230622001403
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

3

Medicare enrollment records show Andre De Souza E Melo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dedicated Senior Medical Center Of Florida, LLC
7.8 mi
Specialist
1505 53RD AVE
Bradenton, FL 34203
  • Reassigned Medicare billing, Florida enrollment
  • 348 clinicians in this Medicare group
NPI 1811404908 (305) 628-6117
Professional Health Care Of Pinellas LLC
29 mi
Internal Medicine
1839 CENTRAL AVE
St Petersburg, FL 33713
  • Reassigned Medicare billing, Florida enrollment
  • 220 clinicians in this Medicare group
NPI 1881647253 (727) 322-1054
Presbyterian Healthcare Services
1,323 mi
Rural
2100 MARTIN LUTHER KING JR BLVD
Clovis, NM 88101
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1629053509 (505) 469-7577

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Lakewood Ranch Medical Center

Acute Care Hospitals · Bradenton, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100299
Location8330 Lakewood Ranch BlvdBradenton, FL 34202 · Manatee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34202 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers14 claims14 services$16.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers26 claims26 services$105.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

WAY CONCIERGE MEDICINE LLC
Internal Medicine
8131 LAKEWOOD MAIN ST STE 205
LAKEWOOD RANCH, FL 34202
Manatee County (860) 970-1303

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 Andre De Souza E Melo's NPI number?

The NPI number for Andre De Souza E Melo is 1720430788. It was assigned to this individual provider in the NPPES registry on July 1, 2016.

Where is Andre De Souza E Melo located?

Andre De Souza E Melo practices at 8131 Lakewood Main St Ste 205, Lakewood Ranch, FL 34202. The listed phone number is (941) 359-9546.

What is Andre De Souza E Melo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andre De Souza E Melo enrolled in Medicare?

Yes. Andre De Souza E Melo 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 Andre De Souza E Melo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre De Souza E Melo reassigns Medicare benefits to 3 organizations: Dedicated Senior Medical Center Of Florida, LLC (Bradenton, FL), Professional Health Care Of Pinellas LLC (St Petersburg, FL) and Presbyterian Healthcare Services (Clovis, NM). 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 Andre De Souza E Melo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andre De Souza E Melo accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Andre De Souza E Melo 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 Andre De Souza E Melo affiliated with any hospitals?

According to CMS data, Andre De Souza E Melo is affiliated with Sarasota Memorial Hospital and Lakewood Ranch Medical Center.

When was this NPI record last updated?

The NPPES record for Andre De Souza E Melo was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.