Pediatric Ent, LLC
NPI 1508002072 · Pediatric Otolaryngology Physician · Melbourne, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Ent, LLC is a Pediatric Otolaryngology Physician organization in Melbourne, FL (NPI 1508002072).
Provider details
- NPI number
- 1508002072
- Entity type
- Organization
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Malis, Manager(321) 254-5437
- License
- ME90348 (FL)
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
17 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
Other names (DBA / former)
- Doing business as
- Family Ent & Audiology
Registry dates
- Enumerated
- 2009-01-05
- Last updated
- 2014-04-18
Frequently asked questions
- What is Pediatric Ent, LLC's NPI number?
- Pediatric Ent, LLC's National Provider Identifier (NPI) is 1508002072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Ent, LLC?
- Pediatric Ent, LLC is classified in the NPPES registry as Pediatric Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatric Ent, LLC located?
- Pediatric Ent, LLC's practice location on file with NPPES is 1499 S Harbor City Blvd Ste 303, Melbourne, FL 32901-3245.
- What is Pediatric Ent, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Ent, LLC is (321) 254-5437.
- Does Pediatric Ent, LLC accept Medicare?
- Pediatric Ent, LLC 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 Pediatric Ent, LLC?
- The authorized official listed on Pediatric Ent, LLC's NPPES record is David Malis, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Ent, LLC's NPI active?
- Yes — Pediatric Ent, LLC's NPI (1508002072) is active in the NPPES registry as of the last update on 2014-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.