Active NPI
Ostap G Melnyk, MD
- Hematology & Oncology Physician
- San Leandro, CA
National Provider Identifier
1205834702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G66164
- Practice address
- 13847 E 14TH St
Suite 217
San Leandro, CA 94578-2626 - Phone
- (510) 483-2555
- Fax
- (510) 483-1856
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G66164 | CA | Primary |
Addresses
Primary practice location
13847 E 14TH St
Suite 217
San Leandro, CA 94578-2626
Mailing address
4721 Dallas Ranch Road
Antioch, CA 94531-8811
Phone (925) 778-0679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Chicago, Pritzker School of Medicine, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13847 E 14TH St
Suite 217
San Leandro, CA 94578-2626
2345 Country Hills Dr
Antioch, CA 94509-7319
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G66164 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter East Bay Medical Foundation | Past | Accepting new patients |
Interoperability endpoints
- omelnyk141768@hisp.ehr.sutterhealth.org
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.
-
- Clinical Medical Laboratory
- Berkeley, CA
- NPI 1831381623
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Berkeley, CA
- NPI 1639523004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1205834702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 DALLAS RANCH ROAD",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318811",
"telephone_number": "925-778-0679",
"fax_number": "925-778-3567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13847 E 14TH ST",
"address_2": "SUITE 217",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782626",
"telephone_number": "510-483-2555",
"fax_number": "510-483-1856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELNYK",
"first_name": "OSTAP",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G66164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.