Andrea Louise Melton, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.121092 Issued in OH

Practice address

11140 Montgomery Road
Suite 2500
Montgomery, OH 45249

Phone

(513) 561-7809

Fax

(513) 272-4121

NPI assigned

May 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dedicated Ohio Holding LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1922631019

  OH

  Medicare reassignment NPD
• Christ Hospital Medical Specialists LLC

  • Urology Physician
  • Cincinnati, OH
  • NPI 1124341649
  NPD (past)
• Dedicated Ohio Holding, LLC

  • Non-Pharmacy Dispensing Site
  • Cincinnati, OH
  • NPI 1164055711
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1306164553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 MONTGOMERY ROAD",
            "address_2": "SUITE 2500",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "45249",
            "telephone_number": "513-561-7809",
            "fax_number": "513-272-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 MONTGOMERY ROAD",
            "address_2": "SUITE 2500",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "45249",
            "telephone_number": "513-561-7809",
            "fax_number": "513-272-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "ANDREA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.121092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100310120",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amelton3337@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11140 Montgomery Road",
            "address_2": "Suite 2500",
            "city": "Montgomery",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon McIntyre, MS
• Courtney McKee, PMHNP
• Laura Ann McKeighen, CRNA
• Cathleen Agnes McKnight, ARNP
• Meadowbrook Healthcare LLC
• Chelsea Ann Menke, GC
• Mental Health Prescribing of Ohio
• Mercy Health Physicians Cincinnati Specialty Care LLC
• Chad Merkle
• Shelby Metz, DPT

• Family Medicine Physician in Montgomery, OH
• Providers in Montgomery, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.