NPIMap

Organization Active NPI

Amel Med, LLC

  • Anesthesiology Physician
  • Grand Junction, CO
National Provider Identifier
1356894059
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
AMEL MED, LLC
Practice address
2460 Patterson Rd #4
Grand Junction, CO 81505
Phone
(970) 242-3510
NPI assigned
Jul 28, 2016
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Marie Moore
Title
Finance
Phone
(970) 242-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

2460 Patterson Rd #4
Grand Junction, CO 81505

Mailing address

2460 Patterson Rd #4
Grand Junction, CO 81505
Phone (970) 242-3510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160913002729 CO Part B Supplier - Clinic/Group Practice 9537455845 Receives reassigned benefits from 13 practitioners
Practice locations: Grand Junction, CO
O20200902001096 TX Part B Supplier - Clinic/Group Practice 9537455845 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

2460 Patterson Rd
Unit 4
Grand Junction, CO 81505
Phone (970) 245-0990

12701 Ranch Road 620 N
Austin, TX 78750
Phone (512) 233-1260

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1356894059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 PATTERSON RD #4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81505",
            "telephone_number": "970-242-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 PATTERSON RD #4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81505",
            "telephone_number": "970-242-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEL MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "FINANCE",
        "authorized_official_telephone_number": "970-242-3510"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.