Individual provider Active NPI

Melinda Denise Harrell, M.D.

  • Internal Medicine Physician
  • Colleyville, TX
National Provider Identifier
1093731812
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M1745 Issued in TX
Practice address
5207 Heritage Ave
Colleyville, TX 76034
Phone
(817) 355-8000
NPI assigned
Jul 14, 2006
Last updated
Jan 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M1745 TX
Internal Medicine Physician 207R00000X M1745 TX Primary
Pediatrics Physician 208000000X M1745 TX

Addresses

Primary practice location

5207 Heritage Ave
Colleyville, TX 76034

Mailing address

5207 Heritage Ave
Colleyville, TX 76034-5915
Phone (817) 355-8000

Other practice location 1

5207 Heritage Ave Ste 103
Colleyville, TX 76034
Phone (817) 355-8000

Other practice location 2

5207 Heritage Ave Ste 103
Colleyville, TX 76034
Phone (817) 355-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000457 TX Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Pediatric Medicine 2668497132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Texas Medical School at Houston, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elis Medical CorporationGroup PAC ID 9133160088, 8 clinicians

Practice addresses (Care Compare)

5207 Heritage Ave
Colleyville, TX 76034-5915
Phone (817) 355-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elis Medical Corporation Family Medicine CurrentSince Mar 19, 2018 Accepting new patients
East Texas Medical Specialists PLLC Internal Medicine Past Accepting new patients
Central Texas Hospitalists, P.a. Internal Medicine Past Accepting new patients

Locations

5207 Heritage Ave
Colleyville, TX 76034
Phone (817) 355-8000

5207 Heritage Ave
Ste 103
Colleyville, TX 76034
Phone (817) 355-8000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGAJDD
  • Direct secure messaging: mharrellmh@emcdm-tx.direct.office.nextgen.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1093731812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 HERITAGE AVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345915",
            "telephone_number": "817-355-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 HERITAGE AVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "76034",
            "telephone_number": "817-355-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5207 Heritage Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "76034",
            "country_code": "US",
            "telephone_number": "817-355-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5207 Heritage Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "76034",
            "country_code": "US",
            "telephone_number": "817-355-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "MELINDA",
        "middle_name": "DENISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M1745",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1745",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M1745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.