Individual provider Active NPI

Yair Dror Melamed, M.D.

  • Internal Medicine Physician
  • Nashua, NH
National Provider Identifier
1184734493
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10367 Issued in NH
Practice address
5 Coliseum Ave
Suite 306-307
Nashua, NH 03063-3206
Phone
(603) 577-9090
Fax
(603) 577-8976
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10367 NH Primary

Addresses

Primary practice location

5 Coliseum Ave
Suite 306-307
Nashua, NH 03063-3206

Mailing address

5 Coliseum Ave
Suite 306-307
Nashua, NH 03063-3206
Phone (603) 577-9090

Other identifiers 2

IdentifierTypeStateIssuer
30011504MedicaidNH
110150308OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050426000893 MA Practitioner - Internal Medicine 6800835240 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10367NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New England Baptist Medical Associates, Inc. Internal Medicine CurrentSince Aug 19, 2012 Accepting new patients

Locations

250 Pond St
Braintree, MA 02184
Phone (781) 848-1300

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

Organizations & group practices 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1184734493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COLISEUM AVE",
            "address_2": "SUITE 306-307",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633206",
            "telephone_number": "603-577-9090",
            "fax_number": "603-577-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COLISEUM AVE",
            "address_2": "SUITE 306-307",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633206",
            "telephone_number": "603-577-9090",
            "fax_number": "603-577-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELAMED",
        "first_name": "YAIR",
        "middle_name": "DROR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "10367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30011504",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110150308",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.