Individual provider Active NPI

Melanie Vettimattam, MD

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1265848782
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R1472 Issued in TX
Practice address
4230 W Green Oaks Blvd
Arlington, TX 76016-4517
Phone
(817) 200-7533
Fax
(817) 476-6051
NPI assigned
Jul 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R1472 TX Primary

Addresses

Primary practice location

4230 W Green Oaks Blvd
Arlington, TX 76016-4517

Mailing address

4230 W Green Oaks Blvd
Arlington, TX 76016-4517
Phone (817) 200-7533

Other practice location 1

5605 N MacArthur Blvd
Irving, TX 75038-2422
Phone (972) 460-0910 ext. 53559

Other identifiers 3

IdentifierTypeStateIssuer
374747902MedicaidTX
374747903MedicaidTX
374747901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170822003752 TX Practitioner - Family Practice 6406146331 Reassigns benefits to 3 organizations
I20260504004877 IL Practitioner - Family Practice 6406146331 Reassigns benefits to 5 organizations
I20260504006532 IN Practitioner - Family Practice 6406146331 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1125 17TH St
Suite 1000
Denver, CO 80202-2043

1125 17TH St
Suite 1000
Denver, CO 80202-2092

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Jul 3, 2023 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Aug 28, 2017 Accepting new patients
Integrated Patient Solutions of Nevada, PC CurrentSince Jan 5, 2026 Accepting new patients
Wellmed Medical Group, PA Family Medicine CurrentSince Jul 3, 2023 Accepting new patients
Medical Clinic of North Texas, PLLC Family Medicine CurrentSince Aug 28, 2017 Accepting new patients

Locations

1600 Stout St
Ste 2000
Denver, CO 80202
Phone (720) 240-5760

4230 W Green Oaks Blvd
Arlington, TX 76016
Phone (817) 200-7533

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

1615 Hospital Pkwy
Ste 103
Bedford, TX 76022
Phone (817) 354-2680

1305 Airport Fwy
Ste 320
Bedford, TX 76021
Phone (817) 545-0662

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

5605 N MacArthur Blvd
Fl 10
Irving, TX 75038
Phone (833) 595-3559

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

Interoperability endpoints

  • Direct secure messaging: melanie.vettimattam@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1265848782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 W GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760164517",
            "telephone_number": "817-200-7533",
            "fax_number": "817-476-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 W GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760164517",
            "telephone_number": "817-200-7533",
            "fax_number": "817-476-6051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5605 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382422",
            "country_code": "US",
            "telephone_number": "972-460-0910 x53559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VETTIMATTAM",
        "first_name": "MELANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R1472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374747902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374747903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374747901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.