Individual provider Active NPI

Robert L Mellon, M.D.

  • Anesthesiology Physician
  • Chico, CA
National Provider Identifier
1235246471
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A124377 Issued in CA
Practice address
121 Raley Blvd
Chico, CA 95928-8347
Phone
(530) 898-1201
NPI assigned
Aug 24, 2006
Last updated
May 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101240393 VA
Anesthesiology Physician 207L00000X A124377 CA Primary

Addresses

Primary practice location

121 Raley Blvd
Chico, CA 95928-8347

Mailing address

537 Madrone Ave
Chico, CA 95926-1720
Phone (301) 466-8428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130507000249 CA Practitioner - Anesthesiology 1850538026 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
George Washington University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of ChicoGroup PAC ID 9032166152, 3 clinicians

Practice addresses (Care Compare)

121 Raley Blvd
Chico, CA 95928-8347
Phone (530) 230-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101240393VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentinel Anesthesia Anesthesiology CurrentSince Jan 25, 2025 Accepting new patients
Northstate Anesthesiology Partners a Medical Corporation Anesthesiology CurrentSince Apr 1, 2013 Accepting new patients
Anesthesia Associates of Chico Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

121 Raley Blvd
Chico, CA 95928
Phone (530) 230-2000

888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800

2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

Interoperability endpoints

  • Direct secure messaging: rmellon15352@enloedirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1235246471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 MADRONE AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261720",
            "telephone_number": "301-466-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RALEY BLVD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288347",
            "telephone_number": "530-898-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLON",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101240393",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A124377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.