Individual provider Active NPI

Melinda Joan Wheatley, M.D.

  • Family Medicine Physician
  • Flint, MI
National Provider Identifier
1275576076
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301058858 Issued in MI
Practice address
1140 S Linden Rd
Flint, MI 48532-3437
Phone
(810) 732-3180
Fax
(810) 732-3919
NPI assigned
Jun 13, 2006
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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 4301058858 MI Primary

Addresses

Primary practice location

1140 S Linden Rd
Flint, MI 48532-3437

Mailing address

1140 S Linden Rd
Flint, MI 48532-3437
Phone (810) 732-3180

Other identifiers 2

IdentifierTypeStateIssuer
0N21610OtherMIMEDICARE PIN
0802572652OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070802000024 MI Practitioner - Family Practice 0345331542 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301058858MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Coverage Services PC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1125 S Linden Rd
Ste 900
Flint, MI 48532
Phone (810) 733-5390

2700 Robert T Longway Blvd
Ste B
Flint, MI 48503
Phone (810) 235-2004

Organizations & group practices 2

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1275576076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323437",
            "telephone_number": "810-732-3180",
            "fax_number": "810-732-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323437",
            "telephone_number": "810-732-3180",
            "fax_number": "810-732-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "MELINDA",
        "middle_name": "JOAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301058858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "0N21610",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0802572652",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.