Menachem Meller, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

MD042497 Issued in PA

Practice address

501 S 54TH St
Philadelphia, PA 19143-1900

Phone

(215) 748-9822

Fax

(215) 748-9717

NPI assigned

Nov 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Orthopedic Surgery

Education

Rush Medical College of Rush University, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BMC Specialty Physicians LLCGroup PAC ID 2466680566, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lower Bucks Hospital Hospital, Bristol, PA, CCN 390070
• Roxborough Memorial Hospital Hospital, Philadelphia, PA, CCN 390304

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• BMC Specialty Physicians LLC

  • Orthopaedic Surgery Physician
  • Bristol, PA
  • NPI 1700125093
  Medicare reassignment Care Compare group NPD
• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643
  NPD (past)
• Mercy Catholic Medical Center of Southeastern PA

  • Ambulatory Surgical Clinic/Center
  • Darby, PA
  • NPI 1699815811
  NPD (past)
• Mercy Catholic Medical Center of Southeastern,PA

  • Community/Retail Pharmacy
  • Darby, PA
  • NPI 1073868667
  NPD (past)
• Richard F Pacropis MD PC

  • Internal Medicine Physician
  • Radnor, PA
  • NPI 1922106764
  NPD (past)

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

• Prime Healthcare Services Lower Bucks LLC

  • General Acute Care Hospital
  • Bristol, PA
  • NPI 1528319621
  Care Compare affiliation
• Prime Healthcare Services Roxborough LLC

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1083986129
  Care Compare affiliation

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1114908050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282007",
            "telephone_number": "610-567-6964",
            "fax_number": "610-567-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 54TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431900",
            "telephone_number": "215-748-9822",
            "fax_number": "215-748-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLER",
        "first_name": "MENACHEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "MD042497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "4292965",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KMHP",
            "identifier": "30002020",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2957202",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "721863",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012802120016",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0559166000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7375879",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belkis Mella, MA
• Fracisco Mella, MA
• Sai Priyanka Mellacheruvu
• Alyssa Marie Melle-Fritz
• Phoebe Lynn Mellen, M.D.
• Steven Meller, MD
• Megan Mellon-Stanton
• John Thomas Mellor, MD
• Xochitl Mellor, MD
• Patrick Mellors

• Sports Medicine (Orthopaedic Surgery) Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.

Verify at the official NPI Registry.