Space Coast Internal Medicine & Geriatric LLC
NPI 1649383720 · Internal Medicine Physician · Cocoa, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Space Coast Internal Medicine & Geriatric LLC is a Internal Medicine Physician organization in Cocoa, FL (NPI 1649383720).
Provider details
- NPI number
- 1649383720
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Romanello, Coo(352) 459-3661
- License
- ME72416 (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
19 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)
- Other name
- Faiaz M Rasul
- Doing business as
- Space Coast Internal Medicine
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Frequently asked questions
- What is Space Coast Internal Medicine & Geriatric LLC's NPI number?
- Space Coast Internal Medicine & Geriatric LLC's National Provider Identifier (NPI) is 1649383720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Space Coast Internal Medicine & Geriatric LLC?
- Space Coast Internal Medicine & Geriatric LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Space Coast Internal Medicine & Geriatric LLC located?
- Space Coast Internal Medicine & Geriatric LLC's practice location on file with NPPES is 990 Palm St, Cocoa, FL 32927-5145.
- What is Space Coast Internal Medicine & Geriatric LLC's phone number?
- The practice phone number listed in the NPPES registry for Space Coast Internal Medicine & Geriatric LLC is (321) 639-4243.
- Does Space Coast Internal Medicine & Geriatric LLC accept Medicare?
- Space Coast Internal Medicine & Geriatric 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 Space Coast Internal Medicine & Geriatric LLC?
- The authorized official listed on Space Coast Internal Medicine & Geriatric LLC's NPPES record is David Romanello, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Space Coast Internal Medicine & Geriatric LLC's NPI active?
- Yes — Space Coast Internal Medicine & Geriatric LLC's NPI (1649383720) is active in the NPPES registry as of the last update on 2025-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.