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

Kishore R. Patsamatla, MD

Individual provider Internal Medicine Physician · NPI 1710935267

Kishore R. Patsamatla, MD is an Internal Medicine in Melbourne, Florida. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Florida and Kentucky.

Years since qualifying
29
Licensed in
FL, KY
In the registry since
2006
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

950 S Apollo Blvd
Melbourne, FL 32901-1932
Phone: (321) 473-8400
Fax: (321) 728-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME97967 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence TP339 (KY)

Record details

NPI number1710935267
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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