Space Coast Medicine
NPI 1245931419 · Internal Medicine Physician · Melbourne Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Space Coast Medicine is a Internal Medicine Physician organization in Melbourne Beach, FL (NPI 1245931419).
Provider details
- NPI number
- 1245931419
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Herzog, MD(850) 544-0142
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-03-15
- Last updated
- 2023-03-15
- Certified
- 2023-03-15
Frequently asked questions
- What is Space Coast Medicine's NPI number?
- Space Coast Medicine's National Provider Identifier (NPI) is 1245931419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Space Coast Medicine?
- Space Coast Medicine is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Space Coast Medicine located?
- Space Coast Medicine's practice location on file with NPPES is 310 Avenue a, Melbourne Beach, FL 32951-2201.
- What is Space Coast Medicine's phone number?
- The practice phone number listed in the NPPES registry for Space Coast Medicine is (850) 544-0142.
- Does Space Coast Medicine accept Medicare?
- Space Coast Medicine 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 Space Coast Medicine?
- The authorized official listed on Space Coast Medicine's NPPES record is Anthony Herzog, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Space Coast Medicine's NPI active?
- Yes — Space Coast Medicine's NPI (1245931419) is active in the NPPES registry as of the last update on 2023-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.