Individual provider Active NPI

Melissa Molyneux, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1053722686
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
54554 Issued in AZ
Practice address
20440 N 27TH Ave
Phoenix, AZ 85027-3240
Phone
(480) 882-4545
Fax
(602) 409-0499
NPI assigned
May 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 54554 AZ Primary
Family Medicine Physician 207Q00000X R74404 AZ

Addresses

Primary practice location

20440 N 27TH Ave
Phoenix, AZ 85027-3240

Mailing address

7500 N Dreamy Draw Dr Ste 145
Phoenix, AZ 85020-4668
Phone (480) 882-4545

Other identifiers 1

IdentifierTypeStateIssuer
324572MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20170920003880 AZ Practitioner - Family Practice 7012281637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Outreach Access to HealthGroup PAC ID 3577743764, 107 clinicians

Practice addresses (Care Compare)

11851 N 51St Ave
Suite B110
Glendale, AZ 85304-2823
Phone (480) 885-4545

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R74404AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Outreach Access to Health Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Sep 5, 2017 Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Sep 1, 2023 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Sep 5, 2017 Accepting new patients

Locations

11851 N 51st Ave
Ste B110
Glendale, AZ 85304

11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

2000 W Bethany Home Rd
#200
Phoenix, AZ 85015
Phone (602) 246-5525

16251 N Cave Creek Rd
Phoenix, AZ 85032

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

7500 N Dreamy Draw Dr
Ste 145
Phoenix, AZ 85020

6036 N 19th Ave
Ste 506
Phoenix, AZ 85015
Phone (602) 246-5525

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

9015 N 3rd St
Phoenix, AZ 85020

20440 N 27th Ave
Phoenix, AZ 85027

8705 E McDowell Rd
Scottsdale, AZ 85257

Interoperability endpoints

  • Direct secure messaging: mmolyneux673239@direct.ochin.org
  • Direct secure messaging: mmolyneux19759@direct.midwestern.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1053722686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204668",
            "telephone_number": "480-882-4545",
            "fax_number": "602-409-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20440 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273240",
            "telephone_number": "480-882-4545",
            "fax_number": "602-409-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLYNEUX",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2024-01-09",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "54554",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R74404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324572",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.