Individual provider Active NPI

Megan Jean Melo, MD

  • Family Medicine Physician
  • Burien, WA
National Provider Identifier
1134327414
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60106662 Issued in WA
Practice address
140 SW 146TH St
Burien, WA 98166-1912
Phone
(206) 901-2389
Fax
(206) 901-2411
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60106662 WA Primary

Addresses

Primary practice location

140 SW 146TH St
Burien, WA 98166-1912

Mailing address

140 SW 146TH St
Burien, WA 98166-1912
Phone (206) 630-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20101028001150 WA Practitioner - Family Practice 1850585373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Fremont Family Practice LLCGroup PAC ID 4981696382, 5 clinicians

Practice addresses (Care Compare)

6804 Greenwood Ave N
Seattle, WA 98103-5228
Phone 20626773001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 25, 2010 Accepting new patients
Kaiser Foundation Health Plan of Washington Family Medicine CurrentSince Aug 25, 2010 Accepting new patients
Fremont Family Practice LLC Family Medicine CurrentSince Oct 11, 2022 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients

Locations

140 SW 146th St
Burien, WA 98166
Phone (206) 630-3000

19379 7th Ave NE
Poulsbo, WA 98370
Phone (360) 394-1000

6804 Greenwood Ave N
Seattle, WA 98103
Phone (206) 257-7780

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

4464 Fremont Ave N
Ste 103
Seattle, WA 98103
Phone (206) 267-7300

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: megan.melo@309431641702404.direct.elationemr.com
  • Direct secure messaging: mmelo847@ghc.direct-ci.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1134327414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SW 146TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661912",
            "telephone_number": "206-630-3000",
            "fax_number": "206-630-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SW 146TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661912",
            "telephone_number": "206-901-2389",
            "fax_number": "206-901-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELO",
        "first_name": "MEGAN",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60106662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "140 SW 146th St",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981661912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.