Otilio N Melero, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036069929 Issued in IL

Practice address

4055 N Kolmar Ave
Chicago, IL 60641-1917

Phone

(773) 276-5100

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424476800000",
    "number": "1154426021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322620",
            "telephone_number": "773-276-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 N KOLMAR AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411917",
            "telephone_number": "773-276-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELERO",
        "first_name": "OTILIO",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036069929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069929",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IL",
            "identifier": "1635894",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Melendi, RD, LDN
• Edilsar Amilcar Melendres-Gomes
• Lisette Melendres, LPC
• Cynthia Yajaira Melero, DPT
• Elyse Melero, LSW
• Beth Melewski
• Irma M Melgar
• Karol Melgar
• Rita Melgarejo-Glaab, MD
• Wendy Melgarejo

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.