Active NPI
Jaime R Melean, M.D.
- Cardiovascular Disease Physician
- Wichita, KS
National Provider Identifier
1063419109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0417617
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000022 | Other | KS | BCBS |
| 480940604 | Other | KS | TAXI ID # |
| 100092950A | Medicaid | KS |
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
| Organization | Specialty | Status | New 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
- 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.
-
- Cardiovascular Disease Physician
- Wichita, KS
- NPI 1356498927
-
dba Ascension Via Christi Weight Management
- Endocrinology, Diabetes & Metabolism Physician
- Wichita, KS
- NPI 1831185065
-
- Cardiovascular Disease Physician
- Wichita, KS
- NPI 1194721951
-
- Cardiovascular Disease Physician
- Wichita, KS
- NPI 1427036086
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
- Craig Meitler, CRNA
- Cari M Mekaeil, LSCSW
- Melanie a Miller Lscsw LLC
- Melanie Ann Greenwood (Amarado Family Physicians)
- Melco LLC Dba Adult, Child, & Family Counseling (Adult, Child and Family Counseling)
- Lauren Mia Melendez Reyes, LMSW
- John Mark Melhorn, M.D.
- Katherine J Melhorn, MD
- Melissa a Kabler, D.C. P.a.
- Melissa R Keusler, OD, PA
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.