Indian River Medical Office PA
NPI 1245220557 · Specialist · Titusville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Indian River Medical Office PA is a Specialist organization in Titusville, FL (NPI 1245220557).
Provider details
- NPI number
- 1245220557
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jill Whittamore, Administrator(321) 267-6687
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-27
- Last updated
- 2011-03-03
Frequently asked questions
- What is Indian River Medical Office PA's NPI number?
- Indian River Medical Office PA's National Provider Identifier (NPI) is 1245220557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indian River Medical Office PA?
- Indian River Medical Office PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Indian River Medical Office PA located?
- Indian River Medical Office PA's practice location on file with NPPES is 3300 Dairy Rd, Titusville, FL 32796-1512.
- What is Indian River Medical Office PA's phone number?
- The practice phone number listed in the NPPES registry for Indian River Medical Office PA is (321) 269-6530.
- Does Indian River Medical Office PA accept Medicare?
- Indian River Medical Office PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Indian River Medical Office PA?
- The authorized official listed on Indian River Medical Office PA's NPPES record is Jill Whittamore, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indian River Medical Office PA's NPI active?
- Yes — Indian River Medical Office PA's NPI (1245220557) is active in the NPPES registry as of the last update on 2011-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.