Organization Active NPI

Willis & Melograna MD PC

  • Urology Physician
  • Greenbelt, MD
National Provider Identifier
1063404325
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
WILLIS & MELOGRANA MD PC
Practice address
7801 Belle Point Dr
Greenbelt, MD 20770-3337
Phone
(301) 474-3636
Fax
(301) 513-5087
NPI assigned
Aug 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Arnold J Willis, MD
Title
President
Phone
(301) 474-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MD Primary

Addresses

Primary practice location

7801 Belle Point Dr
Greenbelt, MD 20770-3337

Mailing address

7755 Belle Point Dr
Greenbelt, MD 20770-3316
Phone (301) 474-3636

Other identifiers 4

IdentifierTypeStateIssuer
138401500MedicaidMD
138401503MedicaidMD
023375200MedicaidDC
138401502MedicaidMD

National Provider Directory

National Provider Directory

Locations

650 Pennsylvania Ave SE
Ste 450
Washington, DC 20003
Phone (202) 488-7740

7759 Belle Point Dr
Greenbelt, MD 20770
Phone (301) 474-3637

7801 Belle Point Dr
Greenbelt, MD 20770
Phone (301) 474-3636

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063404325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 BELLE POINT DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703316",
            "telephone_number": "301-474-3636",
            "fax_number": "301-513-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 BELLE POINT DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703337",
            "telephone_number": "301-474-3636",
            "fax_number": "301-513-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS & MELOGRANA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-474-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138401500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138401503",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023375200",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138401502",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.