Active NPI
Julia A Melamed, M.D.
- Internal Medicine Physician
- Deerfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036095792
- Practice address
- 707 Lake Cook Rd
Suite 130
Deerfield, IL 60015-5613 - Phone
- (847) 418-3308
- Fax
- (847) 418-3309
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036095792 | IL | Primary |
Addresses
Primary practice location
707 Lake Cook Rd
Suite 130
Deerfield, IL 60015-5613
Mailing address
707 Lake Cook Rd Ste 295
Deerfield, IL 60015-4932
Phone (847) 418-3308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036095792 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | proviewcaqh | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
707 Lake Cook Rd
Suite 295
Deerfield, IL 60015-4932
Phone (847) 418-3308
Hospital & facility affiliations
- Northshore University Healthsystem - Evanston Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JB Medical Inc | Internal Medicine | Current | Accepting new patients |
Locations
707 Lake Cook Rd
Ste 295
Deerfield, IL 60015
Phone (847) 418-3308
707 Lake Cook Rd
Ste 130
Deerfield, IL 60015
Phone (847) 498-4998
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.
-
- Internal Medicine Physician
- Deerfield, IL
- NPI 1528133014
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1235217373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 LAKE COOK RD STE 295",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600154932",
"telephone_number": "847-418-3308",
"fax_number": "847-418-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 LAKE COOK RD",
"address_2": "SUITE 130",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600155613",
"telephone_number": "847-418-3308",
"fax_number": "847-418-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELAMED",
"first_name": "JULIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036095792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036095792",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "proviewcaqh",
"affiliation": "N",
"endpointDescription": "caqh",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "707 Lake Cook Rd Ste 295",
"city": "Deerfield",
"state": "IL",
"country_code": "US",
"postal_code": "600154932",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.