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SPACE COAST NEPHROLOGY ASSOCIATES, PLLC
NPI 1821552696
Internal Medicine - Nephrology in Melbourne, FL

Active since January 25, 2019
111 E HIBISCUS BLVD, MELBOURNE, FL 32901(321) 768-3655(321) 831-3024 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2021, Jan 25, 2019 (2 updates tracked since 2019).

About Space Coast Nephrology Associates, Pllc NPPES

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

SPACE COAST NEPHROLOGY ASSOCIATES, PLLC (NPI 1821552696) is a healthcare organization registered as a nephrology in Melbourne, Florida and active in the NPI registry since January 2019. The organization lists Tabitha Abraham, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1821552696
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSPACE COAST NEPHROLOGY ASSOCIATES, PLLC
Location Address111 E HIBISCUS BLVDMelbourne, FL 32901-3102
Mailing Address111 E Hibiscus BlvdMelbourne, FL 32901-3102 · (321) 768-3655 · Fax (321) 831-3024
Phone(321) 768-3655
Fax(321) 831-3024
Organization SubpartNo
Authorized OfficialTabitha AbrahamPractice Administrator · (321) 768-3655
Enumeration DateJanuary 25, 2019
Last NPPES UpdateAugust 2, 20212 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1821552696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
111 E HIBISCUS BLVD, Melbourne, FL 32901
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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 from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 10

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

DR. SUMIT SURESHKUMAR PATEL MD
Internal Medicine (Nephrology)
111 E HIBISCUS BLVD
MELBOURNE, FL 32901
Brevard County (978) 761-9784
BRIANNA NICOLE FLEMING DNP
Nurse Practitioner
111 E HIBISCUS BLVD
MELBOURNE, FL 32901
Brevard County (321) 768-3655
DR. ROXANNE J GUY MD
Specialist
111 E HIBISCUS BLVD
MELBOURNE, FL 32901
Brevard County (321) 727-1600
DR. TAMER S. AHMED M.D.
Internal Medicine (Nephrology)
111 E HIBISCUS BLVD
MELBOURNE, FL 32901
Brevard County (321) 768-3655
CHRISTIN PAJUELO APRN
Nurse Practitioner (Gerontology)
111 E HIBISCUS BLVD
MELBOURNE, FL 32901
Brevard County (321) 768-3655
FLORIDA KIDNEY PHYSICIANS , LLC
Internal Medicine (Nephrology)
111 E HIBISCUS BLVD
MELBOURNE, FL 32901
Brevard County (321) 768-3655
DR. ANTHONY HOANG TRAN MD
Internal Medicine (Nephrology)
111 E HIBISCUS BLVD
MELBOURNE, FL 32901
Brevard County (321) 768-3655
VIRALKUMAR S AMRUTIYA MD
Internal Medicine (Nephrology)
111 E HIBISCUS BLVD
MELBOURNE, FL 32901
Brevard County (321) 768-3655

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 Space Coast Nephrology Associates, PLLC's NPI number?

The NPI number for Space Coast Nephrology Associates, PLLC is 1821552696. It was assigned to this organization in the NPPES registry on January 25, 2019.

Where is Space Coast Nephrology Associates, PLLC located?

Space Coast Nephrology Associates, PLLC is located at 111 E Hibiscus Blvd, Melbourne, FL 32901. The listed phone number is (321) 768-3655.

What is Space Coast Nephrology Associates, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does Space Coast Nephrology Associates, PLLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Space Coast Nephrology Associates, PLLC 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 Space Coast Nephrology Associates, PLLC was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.