NPIMap

Individual provider Active NPI

Lane Richard Mellor, DO

  • Trauma Surgery Physician
  • Lakewood, CO
National Provider Identifier
1083069397
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
DR.0065578 Issued in CO
Practice address
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone
(720) 321-0000
NPI assigned
Apr 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X DR.0065578 CO
Student in an Organized Health Care Education/Training Program 390200000X
Trauma Surgery Physician 2086S0127X DR.0065578 CO Primary

Addresses

Primary practice location

11600 W 2ND PL
Lakewood, CO 80228-1527

Mailing address

11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 323-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613003986 CO Practitioner - General Surgery 2163965518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgery Medical Group IncGroup PAC ID 7214006816, 205 clinicians

Practice addresses (Care Compare)

11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 473-7120

Hospital & facility affiliations

  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
  • St Anthony Summit Medical Center Hospital, Frisco, CO, CCN 060118
  • Middle Park Medical Center Hospital, Kremmling, CO, CCN 061318
  • Aspen Valley Hospital District Hospital, Aspen, CO, CCN 061324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0065578COMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Trauma Services PC Trauma Surgery Current Accepting new patients
Colorado Surgical Service PC Current Accepting new patients
Colorado Surgical Service PC CurrentSince Mar 1, 2025 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgical Critical Care CurrentSince Jun 1, 2024 Accepting new patients
Colorado Trauma Services PC CurrentSince Mar 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Colorado Surgical Service PC Past Accepting new patients
Western University of Health Sciences Past Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgical Critical Care PastSince Jul 2, 2023 Accepting new patients

Locations

400 Indiana St
Ste 200
Golden, CO 80401
Phone (303) 467-1400

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

11750 W 2nd Pl
Ste 360
Lakewood, CO 80228
Phone (720) 321-8470

4350 Wadsworth Blvd
Ste 401
Wheat Ridge, CO 80033
Phone (720) 996-0780

3455 Lutheran Pkwy
Ste 290
Wheat Ridge, CO 80033
Phone (303) 467-1400

Organizations & group practices 9

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1083069397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 W 2ND PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281527",
            "telephone_number": "720-323-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 W 2ND PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281527",
            "telephone_number": "720-321-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOR",
        "first_name": "LANE",
        "middle_name": "RICHARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CO",
            "license": "DR.0065578",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CO",
            "license": "DR.0065578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.