Individual provider Active NPI

Paul Melnick, MD

  • Neurology Physician
  • Elkton, MD
National Provider Identifier
1295792661
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0039680 Issued in MD
Practice address
111 W High St
Suite 107
Elkton, MD 21921-5529
Phone
(410) 392-7044
Fax
(410) 620-0055
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X C1-0003448 DE
Neurology Physician 2084N0400X D0039680 MD Primary

Addresses

Primary practice location

111 W High St
Suite 107
Elkton, MD 21921-5529

Mailing address

PO Box 190
Elkton, MD 21922-0190

Other identifiers 4

IdentifierTypeStateIssuer
P00134099OtherDEMEDICARE RAILROAD
1000021421MedicaidDE
P00060843OtherMDMEDICARE RAILROAD
406618900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100514000848 MD Practitioner - Neurology 2264446269 Reassigns benefits to 1 organization
I20111108000296 DE Practitioner - Neurology 2264446269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Hahneman Medical College of the Pacific, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 W High St
Suite 107
Elkton, MD 21921-5549
Phone (410) 392-7044

4755 Ogletown Stanton Rd
Newark, DE 19718-0002
Phone (410) 392-7044

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as individual
Quality
69.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0039680MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Neurology Services, P.a. Neurology CurrentSince Jan 2, 2003 Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

111 W High St
Ste 107
Elkton, MD 21921
Phone (410) 392-7044

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1295792661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219220190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W HIGH ST",
            "address_2": "SUITE 107",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215529",
            "telephone_number": "410-392-7044",
            "fax_number": "410-620-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNICK",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DE",
            "license": "C1-0003448",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0039680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00134099",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000021421",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00060843",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406618900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.