Active NPI
Brian R Melamed, PH.D., M.D.
- Anesthesiology Physician
- Ephrata, PA
National Provider Identifier
1235238940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD031583E
- Practice address
- 169 Martin Ave
Ephrata, PA 17522-1724 - Phone
- (717) 859-4533
- Fax
- (717) 859-4475
- NPI assigned
- Sep 21, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD031583E | PA | Primary |
Addresses
Primary practice location
169 Martin Ave
Ephrata, PA 17522-1724
Mailing address
PO Box 815
Ephrata, PA 17522-0815
Phone (888) 425-4481
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001043165 | Medicaid | PA | |
| 050015081 | Other | PA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD031583E | PA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1235238940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 815",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175220815",
"telephone_number": "888-425-4481",
"fax_number": "302-709-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MARTIN AVE",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175221724",
"telephone_number": "717-859-4533",
"fax_number": "717-859-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELAMED",
"first_name": "BRIAN",
"middle_name": "R",
"credential": "PH.D., M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD031583E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001043165",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050015081",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.