Active NPI
Mia Melillo Horvath, DPM
- Foot & Ankle Surgery Podiatrist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0750
- Practice address
- 1620 S Stapley Dr Ste 132
Mesa, AZ 85204-6655 - Phone
- (480) 834-8804
- NPI assigned
- Jun 1, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0750 | AZ | Primary |
Addresses
Primary practice location
1620 S Stapley Dr Ste 132
Mesa, AZ 85204-6655
Mailing address
1620 S Stapley Dr Ste 132
Mesa, AZ 85204-6655
Phone (480) 834-8804
Other names 1
- Mia Katherine Melillo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160907000633 | OR | Practitioner - Podiatry | 8022267020 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwest Extremity Specialists LLC
Practice addresses (Care Compare)
9115 SW Oleson Rd
Suite 205
Portland, OR 97223-6877
Phone (503) 245-2420
Hospital & facility affiliations
- Providence Newberg Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 82 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 723 |
| Removal or shaving of skin growth | 289 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Extremity Specialists LLC | Current | Accepting new patients | |
| Northwest Extremity Specialists LLC | Podiatrist | Current | Accepting new patients |
| Podiatric Physicians of Arizona, Inc. | Foot & Ankle Surgery | Past | Accepting new patients |
| Podiatric Physicians of Arizona, Inc. | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
201 N Washington St
Newberg, OR 97132
Phone (503) 538-0800
6542 SE Lake Rd
Ste 102
Portland, OR 97222
Phone (503) 659-6686
9900 SW Hall Blvd
Ste 100
Tigard, OR 97223
9115 SW Oleson Rd
Ste 205
Tigard, OR 97223
Phone (503) 243-5710
Interoperability endpoints
- mia.horvath@358.chartlogic.direct-ci.com
- mia.horvath@pfac.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Podiatric Clinic/Center
- Portland, OR
- NPI 1760067698
-
- Podiatric Clinic/Center
- Wilsonville, OR
- NPI 1346973039
-
- Foot & Ankle Surgery Podiatrist
- Mesa, AZ
- NPI 1194944728
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Glendale, AZ
- NPI 1609366533
Foot & Ankle Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1083840318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 S STAPLEY DR STE 132",
"city": "MESA",
"state": "AZ",
"postal_code": "852046655",
"telephone_number": "480-834-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 S STAPLEY DR STE 132",
"city": "MESA",
"state": "AZ",
"postal_code": "852046655",
"telephone_number": "480-834-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORVATH",
"first_name": "MIA",
"middle_name": "MELILLO",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-01",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "0750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIA",
"last_name": "MELILLO",
"middle_name": "KATHERINE",
"credential": "DPM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.