Active NPI
A. Melinda Liller, MD
- Diagnostic Radiology Physician
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2021014589
- Practice address
- 70 Doctors Park
Cape Girardeau, MO 63703-4928 - Phone
- (573) 334-6071
- Fax
- (219) 738-6714
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2021014589 | MO | Primary |
Addresses
Primary practice location
70 Doctors Park
Cape Girardeau, MO 63703-4928
Mailing address
70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 334-6071
Other names 1
- Alice Melinda Liller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Michigan Medical School, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7221 Engle Rd
Suite 220
Fort Wayne, IN 46804-2233
Phone (260) 432-1568
Hospital & facility affiliations
- Woodlawn Hospital
- Ascension St Vincent Clay
- Ascension St Vincent Salem
- Ascension St Vincent Williamsport
- Ascension St Vincent Jennings
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.96 of 100
- Quality
- 92.18
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021014589 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ella E M Brown Charitable Circle | Diagnostic Radiology | Current | Accepting new patients |
| Summit Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Franciscan Physician Network | Past | Accepting new patients | |
| Franciscan Health Munster | Past | Accepting new patients | |
| Medical Specialists Inc., PC | Past | Accepting new patients |
Locations
7221 Engle Rd
Ste 220
Fort Wayne, IN 46804
Phone (503) 413-7127
5001 US Highway 30 W
#D
Fort Wayne, IN 46818
Phone (808) 599-4471
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1073584587
-
- Community/Retail Pharmacy
- Munster, IN
- NPI 1144603382
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Internal Medicine Physician
- Dyer, IN
- NPI 1922330505
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Salem, IN
- NPI 1427388982
-
- Critical Access Hospital
- Brazil, IN
- NPI 1770533994
-
- Critical Access Hospital
- North Vernon, IN
- NPI 1285684829
-
- Critical Access Hospital
- Williamsport, IN
- NPI 1518913565
-
- Critical Access Hospital
- Rochester, IN
- NPI 1265413405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1386630002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 DOCTORS PARK",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034928",
"telephone_number": "573-334-6071",
"fax_number": "219-738-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 DOCTORS PARK",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034928",
"telephone_number": "573-334-6071",
"fax_number": "219-738-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLER",
"first_name": "A.",
"middle_name": "MELINDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2021014589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICE",
"last_name": "LILLER",
"middle_name": "MELINDA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.