Active NPI
Melish A Thompson Jr., MD
- Cardiovascular Disease Physician
- Scottsdale, AZ
National Provider Identifier
1255409439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 23848
- Practice address
- 7474 E Boulders Pkwy Unit 9
Scottsdale, AZ 85266-1247 - Phone
- (414) 628-0490
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 60721228 | WA | |
| Cardiovascular Disease Physician | 207RC0000X | 23848 | AZ | Primary |
Addresses
Primary practice location
7474 E Boulders Pkwy Unit 9
Scottsdale, AZ 85266-1247
Mailing address
7474 E Boulders Pkwy Unit 9
Scottsdale, AZ 85266-1247
Phone (414) 628-0490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30921700 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23848 | AZ | MD | Cardiovascular Disease Physician |
| 60721228 | WA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Advanced Healthcare, Inc. | Past | Accepting new patients | |
| Advanced Healthcare SC | Cardiovascular Disease | Past | Accepting new patients |
| Milwaukee Heart Scan, LLC | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1154371847
Cardiovascular Disease
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Specialist
- Milwaukee, WI
- NPI 1346345956
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": "1649289600000",
"number": "1255409439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 E BOULDERS PKWY UNIT 9",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852661247",
"telephone_number": "414-628-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7474 E BOULDERS PKWY UNIT 9",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852661247",
"telephone_number": "414-628-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MELISH",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "60721228",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "23848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30921700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.