Individual provider Active NPI

Harry Steven Meliotes, M.D.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1194883165
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.054952 Issued in OH
Practice address
5156 E Main St
Columbus, OH 43213-2424
Phone
(614) 702-7655
Fax
(614) 706-1770
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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 35.054952 OH Primary

Addresses

Primary practice location

5156 E Main St
Columbus, OH 43213-2424

Mailing address

5156 E Main St
Columbus, OH 43213-2424
Phone (614) 702-7655

Other identifiers 1

IdentifierTypeStateIssuer
00660753MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090410000024 OH Practitioner - Family Practice 3678620556 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.054952OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Columbus Ohio, LLC CurrentSince Feb 1, 2022 Accepting new patients
Dedicated Columbus Ohio, LLC CurrentSince Feb 1, 2022 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2260 Morse Rd
Columbus, OH 43229
Phone (305) 831-4453

5156 E Main St
Columbus, OH 43213
Phone (614) 702-7655

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1194883165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5156 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132424",
            "telephone_number": "614-702-7655",
            "fax_number": "614-706-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5156 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132424",
            "telephone_number": "614-702-7655",
            "fax_number": "614-706-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELIOTES",
        "first_name": "HARRY",
        "middle_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.054952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660753",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.