NPIMap

Individual provider Active NPI

Jim G Melton, D.O.

  • Vascular Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1093702011
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
3168 Issued in OK
Practice address
3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134-2612
Phone
(405) 701-9880
Fax
(405) 701-9881
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 3168 OK
Vascular Surgery Physician 2086S0129X 3168 OK Primary

Addresses

Primary practice location

3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134-2612

Mailing address

3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134-2612
Phone (405) 701-9880

Other identifiers 2

IdentifierTypeStateIssuer
770001792OtherOKRAILROAD MEDICARE
100130690AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20060614000188 OK Practitioner - Vascular Surgery 1052202140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Oklahoma State University College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Cardiovascular Solutions, LLCGroup PAC ID 9335454420, 8 clinicians
Cardiovascular Health Clinic PLLCGroup PAC ID 5597070326, 23 clinicians

Practice addresses (Care Compare)

3200 Quail Springs Pkwy
Suite 100
Oklahoma City, OK 73134-2698
Phone 40570198990

3200 Quail Springs Pkwy
Suite 200
Oklahoma City, OK 73134-2699
Phone (405) 241-3539

Hospital & facility affiliations

  • Lifeline Home Health Care, Inc Home health agency, Chickasha, OK, CCN 377524
  • Oklahoma Heart Hospital South, LLC Hospital, Oklahoma City, OK, CCN 370234
  • Grady Memorial Hospital Hospital, Chickasha, OK, CCN 370054
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Oklahoma Heart Hospital, LLC Hospital, Oklahoma City, OK, CCN 370215
  • Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016

Merit-based Incentive Payment System (MIPS)

Final score
82.23 of 100Reported as individual
Quality
54.03
Promoting interoperability
98
Improvement activities
40
Cost
72.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion71
Varicose vein removal1-10
Leg revascularization (restoring blood flow)45
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Health Clinic PLLC Vascular Surgery CurrentSince Jun 1, 2015 Accepting new patients
Advanced Cardiovascular Solutions, LLC CurrentSince Aug 1, 2015 Accepting new patients
Oklahoma Heart Hospital South LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Advanced Surgical & Research Solutions LLC PastSince Feb 8, 2016 Accepting new patients
Grady Memorial Hospital Past Accepting new patients

Locations

420 S 22nd St
Chickasha, OK 73018
Phone (405) 224-3366

3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134
Phone (405) 241-3539

3200 Quail Springs Pkwy
Ste 100
Oklahoma City, OK 73134
Phone (405) 418-5400

Interoperability endpoints

  • Direct secure messaging: jim.melton.p1@direct.ahgcardiology.nextgenshare.com
  • Direct secure messaging: jmelton23827@direct.okheart.com
  • FHIR API: https://api.platform.athenahealth.com/23723/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jim.melton.1@23723.direct.athenahealth.com

Organizations & group practices 7

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 9

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1093702011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 QUAIL SPRINGS PKWY",
            "address_2": "STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342612",
            "telephone_number": "405-701-9880",
            "fax_number": "405-701-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 QUAIL SPRINGS PKWY",
            "address_2": "STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342612",
            "telephone_number": "405-701-9880",
            "fax_number": "405-701-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "JIM",
        "middle_name": "G",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "3168",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OK",
            "license": "3168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "770001792",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100130690A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.