Individual provider Active NPI

Jaime R Melean, M.D.

  • Cardiovascular Disease Physician
  • Wichita, KS
National Provider Identifier
1063419109
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0417617 Issued in KS
Practice address
1431 Bluffview St
Ste 112
Wichita, KS 67218-3039
Phone
(316) 688-0321
Fax
(316) 688-0728
NPI assigned
Jul 5, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0417617 KS Primary

Addresses

Primary practice location

1431 Bluffview St
Ste 112
Wichita, KS 67218-3039

Mailing address

1431 Bluffview St
Ste 112
Wichita, KS 67218-3039
Phone (316) 688-0321

Other identifiers 3

IdentifierTypeStateIssuer
000022OtherKSBCBS
480940604OtherKSTAXI ID #
100092950AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dan a Francisco MD PA Cardiovascular Disease Past Accepting new patients
Medical Specialties of Kansas, L.L.C. Cardiovascular Disease Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jaime.melean.p1@direct.dafvmed.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063419109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 BLUFFVIEW ST",
            "address_2": "STE 112",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183039",
            "telephone_number": "316-688-0321",
            "fax_number": "316-688-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 BLUFFVIEW ST",
            "address_2": "STE 112",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183039",
            "telephone_number": "316-688-0321",
            "fax_number": "316-688-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELEAN",
        "first_name": "JAIME",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0417617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000022",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXI ID #",
            "identifier": "480940604",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092950A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.