Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Vitaliy Molchanov, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871053249

Dr. Vitaliy Molchanov, MD is an Internal Medicine in Port St Lucie, Florida. Qualified in 2011, 15 years ago. Practices with Martin Memorial Medical Center Inc, a 516-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10000 SW Innovation Way
Port St Lucie, FL 34987-2111
Phone: (772) 345-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 24 Hospital Ave, Danbury, CT 06810-6099 — (203) 739-8105
  • 2401 W University Ave, Muncie, IN 47303-3428 — (765) 747-3111

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 157059 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871053249
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Martin Memorial Medical Center Inc — 516 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port St Lucie