Active NPI
Louis V Melini, PA
- Physician Assistant
- Salt Lake City, UT
National Provider Identifier
1326328345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 204590-1206
- Practice address
- 1140 E 3900 S
360
Salt Lake City, UT 84124-1228 - Phone
- (801) 264-8686
- Fax
- (801) 264-8962
- NPI assigned
- Aug 22, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 204590-1206 | UT | Primary |
Addresses
Primary practice location
1140 E 3900 S
360
Salt Lake City, UT 84124-1228
Mailing address
1140 E 3900 S
360
Salt Lake City, UT 84124-1228
Phone (801) 264-8686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204590-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Pediatrics, Inc | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- West Jordan, UT
- NPI 1124102595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1326328345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 E 3900 S",
"address_2": "360",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241228",
"telephone_number": "801-264-8686",
"fax_number": "801-264-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 E 3900 S",
"address_2": "360",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241228",
"telephone_number": "801-264-8686",
"fax_number": "801-264-8962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELINI",
"first_name": "LOUIS",
"middle_name": "V",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "204590-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.