Active NPI
Melinda Kay Marzolf, DO
- Family Medicine Physician
- Montrose, CO
National Provider Identifier
1013177526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 51487
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79352073 | Medicaid | CO | |
| 022994 | Other | CO | KAISER 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 51487 | CO | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iora Health Massachusetts, P.C. | Past | Accepting new patients | |
| Iora Health Colorado, P.C. | Past | 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.
-
- Internal Medicine Physician
- Aurora, CO
- NPI 1568991511
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1851858666
-
- Internal Medicine Physician
- Hanover, NH
- NPI 1700285616
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.