Active NPI
Norma Melamed
- Neurology Physician
- Dallas, TX
National Provider Identifier
1295817096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G3940
- Practice address
- 12810 Hillcrest Rd
Suite B220
Dallas, TX 75230-1525 - Phone
- (972) 991-8466
- NPI assigned
- Oct 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G3940 | TX | Primary |
Addresses
Primary practice location
12810 Hillcrest Rd
Suite B220
Dallas, TX 75230-1525
Mailing address
12810 Hillcrest Rd
Suite B220
Dallas, TX 75230-1525
Phone (972) 991-8466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126484802 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 1, 2013 through Feb 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G3940 | TX | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295817096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12810 HILLCREST RD",
"address_2": "SUITE B220",
"city": "DALLAS",
"state": "TX",
"postal_code": "752301525",
"telephone_number": "972-991-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12810 HILLCREST RD",
"address_2": "SUITE B220",
"city": "DALLAS",
"state": "TX",
"postal_code": "752301525",
"telephone_number": "972-991-8466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELAMED",
"first_name": "NORMA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "G3940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126484802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.