Igor Melnychuk, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

ME88142 Issued in FL

Practice address

14546 Old St Augustine Rd
Suite 107
Jacksonville, FL 32258

Phone

(904) 352-2466

Fax

(904) 352-2472

NPI assigned

Oct 4, 2006

Last updated

Oct 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

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.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: igor.melnychuk.1@9622.direct.athenahealth.com
• Direct secure messaging: imelnychuk1249341@direct.novanthealth.org
• Direct secure messaging: imelnychuk261034@direct.leememorial.org

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

• Monument Health Rapid City Hospital, Inc

  dba Monument Health Behavioral Health Center

  • Multi-Specialty Clinic/Center
  • Rapid City, SD
  • NPI 1275553463
  Medicare reassignment NPD
• Monument Health Rapid City Hospital Inc

  dba Monument Health Rapid Valley Clinic

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1215727854
  NPD
• Baptist Primary Care Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1013160704
  NPD (past)
• Baptist Primary Care Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1508817529

  Internal Medicine

  NPD (past)
• Id Associates of Jacksonville PA

  • Infectious Disease Physician
  • Jacksonville, FL
  • NPI 1013107077
  NPD (past)
• Igor Melnychuk, M.D., P.a.

  • Specialist
  • Jacksonville, FL
  • NPI 1265667448

  Infectious Disease

  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1023104536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 16292",
            "address_2": "SUITE 107",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32245",
            "telephone_number": "904-352-2466",
            "fax_number": "904-352-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14546 OLD ST AUGUSTINE RD",
            "address_2": "SUITE 107",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32258",
            "telephone_number": "904-352-2466",
            "fax_number": "904-352-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNYCHUK",
        "first_name": "IGOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88142",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME88142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268770401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Romulo Delfin Mella, M.D.
• Romulo Joseph Mella, L.C.S.W.
• Estrella Lizbeth Mellin Sanchez, M.D.
• Laurie Mellon, DPT
• Linda Susan Melnick, R.PH.
• Lara Melo Weis, MD
• Racheal Melo, RCSWI
• Keith-Allen Licyayo Melong, MD
• Jonathan Jay Melquist, MD
• Marjorie C Melton

• Infectious Disease Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.