Individual provider Active NPI

Michael Melbardis, D.O.

  • Emergency Medicine Physician
  • Evansville, IN
National Provider Identifier
1073254686
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
02008294A Issued in IN
Practice address
600 Mary St
Evansville, IN 47710-1658
Phone
(812) 450-5000
NPI assigned
Apr 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 06171 KY
Emergency Medicine Physician 207P00000X 5101028003 MI
Emergency Medicine Physician 207P00000X 02008294A IN Primary

Addresses

Primary practice location

600 Mary St
Evansville, IN 47710-1658

Mailing address

600 Mary St
Evansville, IN 47710-1658

Other practice location 1

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone (616) 391-1680

Other practice location 2

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 842-2000

Other practice location 3

1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240806001659 MI Practitioner - Emergency Medicine 2466830872 Reassigns benefits to 1 organization
I20250807000512 IN Practitioner - Emergency Medicine 2466830872 Reassigns benefits to 1 organization
I20250910001100 KY Practitioner - Emergency Medicine 2466830872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Health, Inc.Group PAC ID 4981508454, 69 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7100

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7338

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06171KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecs Western Michigan PC Emergency Medicine CurrentSince May 31, 2024 Accepting new patients
Methodist Health, Inc. Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Deaconess Hospital Inc CurrentSince Oct 1, 2025 Accepting new patients
Deaconess Hospital, Inc Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Methodist Health, Inc. CurrentSince Oct 1, 2025 Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

Organizations & group practices 6

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 3

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": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1073254686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MARY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101658",
            "telephone_number": "812-450-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Michigan St NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032560",
            "country_code": "US",
            "telephone_number": "616-391-1680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4011 Gateway Blvd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308947",
            "country_code": "US",
            "telephone_number": "812-842-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424202783",
            "country_code": "US",
            "telephone_number": "270-827-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELBARDIS",
        "first_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-06",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "06171",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101028003",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02008294A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.