Individual provider Active NPI

Melinda Kay Marzolf, DO

  • Family Medicine Physician
  • Montrose, CO
National Provider Identifier
1013177526
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51487 Issued in CO
Practice address
336 S 10TH St Ste 107
Montrose, CO 81401-4934
Phone
(970) 514-5463
Fax
(970) 645-3167
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 51487 CO Primary

Addresses

Primary practice location

336 S 10TH St Ste 107
Montrose, CO 81401-4934

Mailing address

16307 6900 Rd
Montrose, CO 81401-7461
Phone (970) 514-5463

Other identifiers 2

IdentifierTypeStateIssuer
79352073MedicaidCO
022994OtherCOKAISER COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
51487COMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Iora Health Colorado, P.C. PastSince Jan 1, 2020 Accepting new patients
Iora Health, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1013177526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16307 6900 RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814017461",
            "telephone_number": "970-514-5463",
            "fax_number": "970-645-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S 10TH ST STE 107",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014934",
            "telephone_number": "970-514-5463",
            "fax_number": "970-645-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZOLF",
        "first_name": "MELINDA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "51487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79352073",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "022994",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.